Pelvic colon volvulus: Results of one-stage versus two-stage colectomy at the University Hospital of Conakry

Diakité Saikou Yaya 1, Baldé Habiboulaye 1, Diallo Abdoulaye 1, 2, Camara Soriba Naby 2, Camara Fode Lansana 1, Barry Alpha Madiou 1, Doumbouya Bourlaye 1, Baldé Alpha Korse 1, Diallo Amadou Djoulde 1, Camara Alpha Kabinet 1, Barry Thieno Ila 1, Sow Zakaria 1, Sylla Alpha Mamadou 1, Diallo Aissatou Taran 3, Touré Aboubacar 3 and Diallo Biro 1

1 Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
2 Department of visceral surgery, Friendship Hospital Sino Guinean Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
3 Department of General surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea

 

Research Article
GSC Advanced Research and Reviews, 2021, 08(03), 139–145.
Article DOI: 10.30574/gscarr.2021.8.3.0198
Publication history: 
Received on 13 August 2021; revised on 23 September 2021; accepted on 25 September 2021
 
Abstract: 
Introduction: The aim of this study was to evaluate the results of one-stage colectomy versus two-stage colectomy at Conakry University Hospital.
Methods: This was a retrospective study conducted at the University Hospital of Conakry from January 1, 2015 to December 31, 2019. All patients hospitalized and operated on in the Ignace Deen General Surgery and Donka Visceral Surgery departments for pelvic colon volvulus (PCV) who underwent colectomy during the study period were included.
Results: We collected 87 cases of pelvic colon volvulus (PCV). The average age was 45.71 years with extremes of 5 years and 80 years with a male predominance of 82.83% and a sex ratio of 5.18. The morbidity was marked by 2 cases of anastomotic fistulas, 7 cases of parietal suppuration and 1 case of peristomal hemorrhage. 4 cases of death were noted in two-stage colectomy and 2 cases in one-stage colectomy.
Conclusion: The occurrence of morbidity and mortality was not related to the type of colectomy. As our study does not allow us to affirm the superiority of one technique over the other, we recommend considering a future dynamic study that would take into account a larger sample.
 
Keywords: 
Pelvic Colon Volvulus; One-stage colectomy; Two-stage colectomy; Sigmoid colon
 
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Copyright information: 
Copyright © 2021 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0

 

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