Best Management of Sigmoid Volvulus: A Prospective Randomized Trial

Best Management of Sigmoid Volvulus: A Prospective Randomized Trial

The purpose of this study is to obtain a better understanding of the best management of left-sided colonic emergencies.

Participants: Patients 18 years or older presenting to Kamuzu Central Hospital in Lilongwe Malawi with sigmoid volvulus will be eligible for inclusion.

Procedures (methods): This is a prospective randomized trial. Subjects will be randomized during surgery to receive resection and anastomosis or mesosigmoidopexy (for non-gangrenous sigmoid volvulus), and resection and anastomosis or Hartmann's procedure (for gangrenous sigmoid volvulus).

Inclusion Criteria:

• clinical suspicion of sigmoid volvulus as deemed by the surgeon on duty

Exclusion Criteria:

• pregnancy,
• age under 18 years,
• prisoners