ArticleInternational journal of colorectal disease2026
Trans-Pfannenstiel sigmoidectomy for sigmoid volvulus: description of a novel surgical technique and initial experience from a retrospective case series.
Article in International journal of colorectal disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSigmoid volvulus is a recurrent cause of large bowel obstruction that predominantly affects elderly and frail patients. After successful endoscopic detorsion, elective sigmoid resection is recommended to prevent recurrence. This study describes a new, trans-Pfannenstiel approach for sigmoidectomy and reports the initial clinical experience with this technique.
methodsThis study was designed as a single-center retrospective case series. Adult patients surgically treated for sigmoid volvulus between 2024 and 2025 were included. All patients underwent successful endoscopic detorsion and decompression followed by planned surgical resection. The primary outcome was postoperative complications within 30 days. Surgical technique, perioperative outcomes and short-term follow-up were analyzed.
resultsEleven patients were included, with a median age of 71 years (IQR 51-79); five patients (45.4%) were classified as ASA III, and nine patients (63.6%) had experienced two or more previous episodes of volvulus. Median operative time was 105 min (IQR 90-125). No patient required postoperative intensive care or reoperation. Postoperative complications occurred in four patients (36.4%), with one Clavien-Dindo grade IIIa complication managed non-operatively with CT-guided percutaneous drainage. Median length of hospital stay was 6 days (IQR 5-6). Three patients (27.3%) required early readmission for medical complications (one Clavien-Dindo IIIa and two Clavien-Dindo II complications). No postoperative mortality or recurrence of sigmoid volvulus was observed during a median follow-up of 394 days (IQR 246-434).
conclusionsTrans-Pfannenstiel sigmoidectomy is a feasible, safe, and reproducible technique for the surgical management of sigmoid volvulus in selected patients. When performed after endoscopic decompression in a planned setting, it allows definitive treatment while limiting abdominal wall trauma in a fragile population.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.