It is becoming apparent that one-stage primary resection and anastomosis of the left colon for acute sigmoid volvulus is safe and economical. This paper reviews 15 colonic resections with primary anastomosis, which were performed on unprepared bowel in patients with acute sigmoid volvulus at Firoozabadi hospital. The post-operative hospital stay was reduced. The death rate was 13.3% and complication rate 6.7%. These results suggest that this procedure is safe for nonischemic acute sigmoid volvulus. |
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