Sigmoid volvulus is a common cause of bowel obstruction. We describe mesosigmoidopexy, an accepted surgical technique for the management of non-gangrenous sigmoid volvulus, and provide anatomic correlations supporting the therapy. Mesosigmoidopexy should be considered as a rational alternative to resection and anastomosis when operating on non-gangrenous sigmoid volvulus.
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References
1.
LalS, MorgensternR, VinjirayerE, MatinA.Sigmoid volvulus: an update. Gastrointestinal Endoscopy Clinics N Am2006;16:175–87
2.
UdezueN.Sigmoid volvulus in Kaduna, Nigeria. Dis Colon Rectum1990;33:647–9
3.
MangianteE, CroceM, FabianT.Sigmoid volvulus: a four-decade experience. Am Surg1989;55:41–4
4.
BagaraniM, CondeA, LongoR, ItalianoA, TerenziA, VenutoG.Sigmoid volvulus in West Africa: a prospective study on surgical treatments. Dis Colon Rectum1993;36:186–90
5.
BhatnagarB, SharmaC, GuptaS, MathurM, ReddyD.Study on the anatomical dimensions of the human sigmoid colon. Clin Anatomy2004;17:236–43
6.
SennN, ed. The surgical treatment of intestinal obstruction. In: The Surgical Treatment of Intestinal Obstruction. Milwaukee, 1888: 167
7.
Vaez-ZadehK, DutzW.Ileosigmoid knotting. Ann Surg1970;172:1027–33
8.
AkinkuotuA, SamuelJC, MsiskaN, MvulaC, CharlesAG.The role of the anatomy of the sigmoid colon in developing sigmoid volvulus: a case-control study. Clin Anat2011;24:634–7