ArticleAnnals of coloproctology2020
Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study.
Article in Annals of coloproctology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Comparing Resection and Primary Anastomosis versus Hartmann's Stoma on the Mortality and Morbidity of Gangrenous Sigmoid Volvulus: Systematic Review and Meta-Analysis.Ethiopian journal of health sciences · 2023Pooled it
- Management and outcomes of sigmoid volvulus: a retrospective cohort study of 46 patients at a tertiary care center.International journal of surgery case reports · 2026Article
- Laparoscopic redo surgery for sigmoid volvulus following laparoscopic sigmoidectomy.Surgical case reports · 2024Article
- Laparoscopic Sigmoid Colectomy with Natural Orifice Specimen Extraction in Sigmoid Volvulus.The Eurasian journal of medicine · 2024Article
- Review
- Article
- Epidemiology and age-related trends in surgical outcomes for sigmoid volvulus: a 17-year analysis.Langenbeck's archives of surgery · 2024Article
- Left iliac fossa sigmoidectomy with mechanical anastomosis in the management of uncomplicated sigmoid volvulus: an observational study at Principal Hospital of Dakar, Senegal.The Pan African medical journal · 2024Observational
- A RARE METACHRONOUS COLONIC VOLVULUS.Annals of Ibadan postgraduate medicine · 2023Article
- Perioperative Adverse Outcome and Its Predictors After Emergency Laparotomy Among Sigmoid Volvulus Patients: Retrospective Follow-Up Study.Open access emergency medicine : OAEM · 2023Article
- Comments on "Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study".Annals of coloproctology · 2021Article
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Authors and funding
13 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to evaluate real-world clinical outcomes from surgically treated patients for sigmoid volvulus.
methodsFive tertiary centers participated in this retrospective study with data collected from October 2003 through September 2018, including demographic information, preoperative clinical data, and information on laparoscopic/open and elective/emergency procedures. Outcome measurements included operation time, postoperative hospitalization, and postoperative morbidity.
resultsAmong 74 patients, sigmoidectomy was the most common procedure (n = 46), followed by Hartmann's procedure (n = 23), and subtotal colectomy (n = 5). Emergency surgery was performed in 35 cases (47.3%). Of the 35 emergency patients, 34 cases (97.1%) underwent open surgery, and a stoma was established for 26 patients (74.3%). Elective surgery was performed in 39 cases (52.7%), including 21 open procedures (53.8%), and 18 laparoscopic surgeries (46.2%). Median laparoscopic operation time was 180 minutes, while median open surgery time was 130 minutes (P < 0.001). Median postoperative hospitalization was 11 days for laparoscopy and 12 days for open surgery. There were 20 postoperative complications (27.0%), and all were resolved with conservative management. Emergency surgery cases had a higher complication rate than elective surgery cases (40.0% vs. 15.4%, P = 0.034).
conclusionRelative to elective surgery, emergency surgery had a higher rate of postoperative complications, open surgery, and stoma formation. As such, elective laparoscopic surgery after successful sigmoidoscopic decompression may be the optimal clinical option.
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