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Sigmoid volvulus treated by mini-incision

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Abstract

Definitive surgical management of sigmoid volvulus is usually via a midline laparotomy or laparoscopy. We report our experience with a series of five consecutive cases over a 10-year period. All patients had definitive surgery via a left iliac fossa mini-incision after prior decompression. For four patients, it was the first episode of sigmoid volvulus and one patient had a recurrent sigmoid volvulus after previous sigmoid colectomy. The latter patient had pan colonic megacolon diagnosed at initial surgery. All five cases were surgically treated successfully via a mini-incision on the left iliac fossa. There were no instances of recurrence at a median follow-up duration of 95 months (range 7–132 months). A left iliac fossa mini-incision is sufficient for the definitive management of non-perforated sigmoid volvulus. Larger studies are warranted to draw definitive conclusions.

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Authors and Affiliations

  1. Department of General Surgery, Singapore General Hospital, Singapore, Singapore

    I. Seow-En

  2. Seow-Choen Colorectal Centre Pte Ltd, Singapore, Singapore

    F. Seow-Choen

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  1. I. Seow-En
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  2. F. Seow-Choen
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Correspondence to I. Seow-En.

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Seow-En, I., Seow-Choen, F. Sigmoid volvulus treated by mini-incision. Tech Coloproctol 18, 1169–1171 (2014). https://doi.org/10.1007/s10151-014-1230-0

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  • DOI: https://doi.org/10.1007/s10151-014-1230-0

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