Which is Better in Care of Volvulus Sigmoid Colon? Primary Repair or Double Barrel Colostomy

Abstract

Background: Volvulus refers to torsion of a segment of the alimentary tract, which often leads to bowel 
obstruction. Sigmoid volvulus is the most common form of volvulus of the gastrointestinal tract and this condition is 
responsible for 8% of all intestinal obstruction. Sigmoid volvulus is particularly common in elderly persons.  
Objective: To compare the outcome of double barrel colostomy versus primary repair after on table lavage in cases 
of volvulus of sigmoid colon.  
Design of Study: Comparative Study. 
Place and Duration of Study: This study was conducted in the Department of Surgery, from April 2010 to 
September 2010 in Nishtar Hospital, Multan. 
Patients and methods: This study was conducted in the Department of Surgery, from April 2010 to September 
2010 in Nishtar Hospital, Multan. A total of 100 patients were included in the study.  
Results: Majority of the patients in the age group 41-50 years. Out of 100 patients, 80 (80%) were male and 20 
(20%) were female. Out of 100 patients, 40 (40%) belonged to Baluchistan, while 30 (30%) from DG Khan, 10 
(10%) from Sindh and remaining 20 (20%) from Multan.  
Conclusion: It is concluded from the study that morbidity and hospital stay was significantly lower in patients with 
Group-A (sigmoidectomy and primary anastomosis after on table lavage) as compared to group-B (sigmoidectomy + 
double barrel colostomy), so economic burden and morbidity related to colostomy can be prevented.