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New Innovation and Idea | Surgery | India | Volume 13 Issue 7, July 2024 | Rating: 4.9 / 10
Augmented Meso - Sigmoidopexy: A Viable Alternative for Non Gangrenous Sigmoid Volvulus in Young Patients
Dr. Kopperundevi M. S. | Dr. Anbarasan M. S. | Dr. Deepalakshmi
Abstract: Sigmoid volvulus, a condition seen in elderly and debilitated individuals, can also present in younger patients, particularly in regions known as the volvulus belt. The standard treatment often involves resection and anastomosis due to the lack of endoscopic decompression options in an emergency setting. This case report presents a 31 - year - old woman with sigmoid volvulus treated successfully with augmented mesosigmoidopexy, avoiding the need for more invasive surgical procedures. During emergency laparotomy, the patient?s sigmoid colon was found to be twisted but viable, allowing for augmented mesosigmoidopexy. This procedure involved plication of the sigmoid mesocolon and fixation at critical junctions to prevent recurrence. Postoperative recovery was smooth, with the patient experiencing no complications or recurrence after four months. This case demonstrates that augmented mesosigmoidopexy can be a less invasive, effective alternative for young patients presenting early without bowel ischemia.
Keywords: Sigmoid volvulus, Mesosigmoidopexy, uncomplicated volvulus, less morbid procedure
Edition: Volume 13 Issue 7, July 2024,
Pages: 458 - 460