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

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

doi:10.30574/gscarr.2021.8.3.0198

Authors

Diakité Saikou Yaya Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Baldé Habiboulaye Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Diallo Abdoulaye Department of visceral surgery, Friendship Hospital Sino Guinean Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Camara Soriba Naby Department of visceral surgery, Friendship Hospital Sino Guinean Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Camara Fode Lansana Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Barry Alpha Madiou Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Doumbouya Bourlaye Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Baldé Alpha Korse Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Diallo Amadou Djoulde Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Camara Alpha Kabinet Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Barry Thieno Ila Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Sow Zakaria Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Sylla Alpha Mamadou Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Diallo Aissatou Taran Department of General surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Touré Aboubacar Department of General surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea
Diallo Biro Department of visceral surgery, Donka National Hospital Faculty of science and health technic, Gamal Abdel Nasser University of Conakry, Conakry Guinea

DOI:

https://doi.org/10.30574/gscarr.2021.8.3.0198

Keywords:

Pelvic Colon Volvulus, One-stage colectomy, Two-stage colectomy, Sigmoid colon

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

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