Intraoperative colonic irrigation in the treatment of acute sigmoid volvulus

Abstract

activities are acceptable. For stage I ingrowing toenails the combination of conservative measures studied was shown t o be successful. In cases of stage I1 ingrowing nails, success can also be achieved but recurrences are frequent in the long term

Factors Influencing Outcome of Sigmoid Volvulus in Northern Uganda. A Prospective Observational Study

“…This study showed no statistically significant association between age and outcome (p=0.308) and is in keeping with findings from another study by Jumbi et al, 2008. Many studies from the West have shown that increasing age and co-morbidity affects outcome 18,19 . In the Western population the mean age of presentation with acute sigmoid volvulus is 62-78 years whilst in the African population it is 42-55 years 14 .…”

“…Earlier studies had reported a mortality of 58% and 37% respectively 38,39 . Madiba et al, in South Africa also reported a high mortality of 30% 14 as have other studies in different parts of the world showed a higher mortality rate following emergency resection compared to elective resection 14,18 .…”

“…Studies by Hiltumen et al and Ghosh et al in Western populations showed that co-morbidity is a major cause of mortality 15,21 . The co-morbidities responsible for most cases are usually secondary to cardiorespiratory disease and carcinoma.…”

“…The overall mortality rate of sigmoid volvulus in our study was 7.7% which is low compared to mortalities of up to 58% seen in developed countries 38 . Studies carried out in the West by Grossman et al, have also shown a higher mortality in developed countries than in Africa 18 . Earlier studies had reported a mortality of 58% and 37% respectively 38,39 .…”

“…December 2016; Vol. 21 No. 3 morbidity is one of the most important determinants of outcome of sigmoid volvulus 14 .…”