TITLE:
Volvulus of Colon Sigmoide in the General Surgery Department of Chu Gabriel Toure
AUTHORS:
Maïga Amadou, Diakité Ibrahima, Bah Amadou, Diallo Aly Boubacar, Traoré Bathio, Moussa Diassana, Sidibé Boubacar Yoro, Koné Tani, Doumbia Arouna Adama, Traoré Amadou, Saye Zakari, Diallo Mamadou, Konaté Moussa, Saadé Oumou Hélène, Kanté Lassana, Konaté Madiassa, Dembélé Souleymane, Samaké Moussa, Dembélé Bakary Tientigui, Traoré Alhassane, Togo Adégné
KEYWORDS:
Sigmoid Volvulus, General Surgery Department
JOURNAL NAME:
Surgical Science,
Vol.13 No.1,
January
28,
2022
ABSTRACT: Introduction: Sigmoid colon volvulus is a
medico-surgical emergency which represents a common cause of colonic occlusion, it is characterized
by strangulation of the sigmoid loop around its meso colic axis producing low
mechanical occlusion [1]. Apart from this form conventionally described, the volvulus of the
sigmoid colon can occur along an organoaxial axis. This form has been
highlighted in the literature thanks to the diagnostic contribution of
multi-detector scanners [2]. Objective: To determine the hospital frequency of sigmoid colon volvulus; to write the
clinical and para-clinical aspects of sigmoid colon volvulus; write down the
different treatments used for the management of sigmoid colon volvulus. Material
and methods: This was a retrospective and prospective study that
took place from January 2008 to December 2020 in the General Surgery Department
of Gabriel Touré. The retrospective phase ran from January 2008 to
December 2019 and the prospective phase from January 2020 to December 2020. Results: From January 2008 to December 2020, we collected 320 cases of patients operated
on for sigmoid colon volvulus out of 7989 surgical emergencies over a 12-year
period, or 3.64%. In our study, the most represented age group was between 16 and
60 years old, i.e. 81.88%. The mean age was 42.6 ± 17.4 years with extremities of 16 and 90
years. The male sex was the most represented, 89% with a sex ratio of 8.41. The
surgical history was found in 13.75% of our patients. The clinic was dominated
by abdominal pain (100%), meteorism (100%), and gas and matter arrest (91.3%).
The most common radiological image found in the ASP was the double jamb, i.e. 74.69% of cases. We found sigmoid necrosis in 18.13% of cases. We found
an absence of necrosis in the majority of cases, i.e. 91.56%. The most performed operative procedure in our patients was the
RACR, i.e. 75.63% of cases. The reoperation was performed in only 5.94% of our
patients. Complications were grade V in 42.55% according to the Clavin Dindo
classification.