[Results of emergengy colectomy in the management of the colon volvulus in Dakar hospital]. / Résultats de la colectomie en urgence dans le traitement du volvulus du côlon au centre hospitalier universitaire (CHU) de Dakar.
Ann Chir
; 128(2): 98-101; discussion 102, 2003 Mar.
Article
em Fr
| MEDLINE
| ID: mdl-12657546
ABSTRACT
PURPOSE:
The aim of this study was to evaluate the results of emergency colectomies for the management of colon volvulus. PATIENTS ANDMETHODS:
This retrospective study was undertaken on 50 cases of colon volvulus operated in the Surgical Department of the Aristide Le Dantec teaching hospital of Dakar from January 1994 to December 2000. It concerned 42 men and 8 women with an mean age of 42 years. All patients presented an occlusive syndrome suggestive of colon volvulus, which required a laparotomy, through a xypho-pubic incision. The patients were divided into two groups. Group I concerned 13 patients who underwent an ideal colectomy and group II, 37 patients in whom we performed a colectomy associated with a temporary colostomy with either Bouilly-Volkman procedure (n = 23) or Hartman procedure (n = 14) followed one month later by intestinal continuity restoration. Mortality and morbidity were compared in the two groups.RESULTS:
The overall mortality rate was 12% (6/50). The mortality rate was 31% (4/13) in group I and 5 % (2/37) in group II. The overall morbidity rate was 14%. In group I, the morbidity rate was 15 % (2/13) and 13,5% (5/37) in group II.CONCLUSION:
In our study the mortality rate was higher after colectomy with primary anastomosis than after colectomy with temporary colostomy followed by secondary anastomosis. We recommend colectomy without anastomosis for the emergency management of the colon volvulus in Africa.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Colectomia
/
Doenças do Colo
/
Tratamento de Emergência
/
Obstrução Intestinal
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Africa
Idioma:
Fr
Revista:
Ann Chir
Ano de publicação:
2003
Tipo de documento:
Article