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Volume 7 Issue 12 (December, 2019)

Original Articles

A study of comparison between sigmoidectomy with colorectal anastomosis versus hartmann’s procedure in the management of sigmoid gangrene
Dr. Arun Kumar Pandey, Dr. Virendra K Mishra

Background: The present study compared sigmoidectomy with colorectal anastomosis versus hartmann’s procedure in the management of sigmoid gangrene. Materials & Methods: 60 patients diagnosed with sigmoid volvulus were classified into 2 groups of 30 each. Group I patients were treated with sigmoidectomy with colorectal anastomosis and group II patients were managed with hartmann’s procedure. Parameter such as wound infection, burst abdomen, anastomosis leak and colostomy retraction etc. was recorded. Results: Common comorbidities were diabetes mellitus seen in 5 in group I and 6 in group II, hypertension seen 4 in group I and 3 in group II, COPD 5 in group I and 7 in group II and neuropsychiatric disorder 2 in group I and 1 in group II. The difference was non- significant (P> 0.05). Wound infection was seen 1 in group I and 2 in group II, burst abdomen 3 in group I and 2 in group II, anastomosis leak 2 in group I and 3 in group II and colostomy retraction 1 in each group. Conclusion: Conservative treatment with elective sigmoidectomy is the procedure of choice. If emergency surgery is indicated, Hartmann’s procedure should be the procedure of choice. Key words: Hartmann’s procedure, Sigmoidectomy, Sigmoid gangrene.

 
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