Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry
Objective. The objective of this study was to evaluate the results of emergency colectomies for acute intestinal obstruction due to pelvic colon volvulus. Patients and methods. This was a two-year prospective study involving 48 cases of pelvic colon volvulus operated on in the General Surgery Department of Ignace DEEN National Hospital between January 1, 2021, and December 31, 2022. This study involved 38 men and 10 women, with a mean age of 49.5 years. All patients presented with clear signs of occlusive syndrome consistent with pelvic colon volvulus. All patients underwent median xyphopubic laparotomy. Patients were divided into two groups. Group I consisted of 34 patients who had undergone an ideal colectomy, and group II consisted of 14 patients who had undergone a colectomy combined with a Bouilly-Volkman or Hartmann colostomy (n = 14), followed by restoration of colonic continuity. Mortality and morbidity were compared for the two groups. The overall mortality rate was 14% (7/48). In group I, this rate was 20% (7/34) and 7.14% (1/14) in group II. Conclusion. In this study, the mortality rate was higher after ideal colectomy than after two-stage colectomy. We recommend conducting a prospective study on a larger sample and encourage two-stage emergency colectomy in the management of pelvic colon volvulus.
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Volvulus, Sigmoid, Colectomy, Hartmann and Volkmann
1. Introduction
Pelvic or sigmoid colon volvulus is a strangulating obstruction caused by twisting of the sigmoid colon around its own mesentery
[1]
Ouchemi C, Mignagnal K, Moussa M A et al. Results of treatment for sigmoid volvulus in N'Djamena, Chad. European Scientific Journal July 2015 edition vol. 11, No 21.
[1]
. It accounts for 30% of acute intestinal obstructions in sub-Saharan Africa, 2% in Western Europe, and 3.4% in the United States
[2]
Togo H, Sigmoid colon volvulus in the general surgery department of Gabriel Toure University Hospital. Thesis in general surgery, Bamako 2022 (Mali).
[2]
. Volvulus is the leading cause of emergency colonic obstruction surgery in developing countries, where it affects a younger population
[3]
Mamy GF, Fofana H, Dabo M, Fofana N, Soumaoro LT, Keita K et al. Colectomy in adults: frequency, indications, and outcomes in the general surgery department of Ignace Deen National Hospital. RECAC. Vol. 3(17), December 2019.
[3]
.
Several procedures have been described for the treatment of colonic volvulus, ranging from pexies or mesosigmoidoplasties to two-stage colectomy and ideal colectomy
[4]
Ba PA, Determinants of Mortality for Digestive Emergency Surgery in Low-Income Countries: The Case of Senegal. Clin Surg. 2021; 4(9): 1-8.
[4]
. Colectomy is the removal of part or the entire colon
[5]
Slim K, Vicaut E, Launay-Savary MV, Contant C, Chipponi J, Updated systematic review and meta-analysis of randomized clinical trials on the role of mechanical bowel preparation be-fore colorectal surgery [archive], Ann Surg, 2009; 249: 203-209.
[5]
. Sigmoidectomy can be performed in a single stage with restoration of digestive continuity, or in two stages with creation of a colostomy followed by restoration of digestive continuity a few months later
[6]
Oulmoudne N. Sigmoid Volvulus: Retrospective Study of 55 Cases at the Mohamed VI University Hospital in Marrakech [Medical Doctoral Thesis] 2011. (16) 66.
[6]
.
Two-stage sigmoidectomy combines Hartmann's colectomy and Bouilly Volkman's colectomy
[7]
Lassey JD, Abdoulaye MB, Adakal O, Adamou H, Ide K, Hama Y et al. Ideale Kolektomie vs. zweistufige Notfall-Kolektomie am linken Kolon im Nationalkrankenhaus von Niamey. J Afr Chir Digest 2020; Band 20(2): 3138-3142.
[7]
.
In the general surgery department at Ignace DEEN Hospital, the ideal emergency colectomy for pelvic colon volvulus was the most commonly performed procedure, compared to two-stage sigmoidectomy with colostomy followed by restoration of digestive continuity a few months later.
In recent years, this ideal colectomy has seen an increase in post-operative complications, probably due to the high number of junior surgeons.
It is in this context that we undertook this study to report the mortality outcomes following ideal colectomy and two-stage emergency colectomy for the treatment of acute intestinal obstruction due to pelvic colon volvulus (PCV) performed in the general surgery department of Ignace Deen Hospital in Conakry, Republic of Guinea.
The aim of this study was to report mortality rates according to the type of emergency colectomy performed for colonic volvulus and to provide objective data to guide the choice of emergency colectomy procedure in this department.
2. Materials and Methods
This was a prospective descriptive study lasting two years, from January 1, 2021, to December 31, 2022.
A comprehensive collection of all patient records was made for patients hospitalized during our study period who met our inclusion criteria.
The primary criterion was acute low intestinal obstruction due to volvulus of the pelvic colon.
The diagnosis was occlusive syndrome with abdominal pain, vomiting, cessation of bowel movements and gas, abdominal bloating with fluid levels and/or a double-barred arch on plain abdominal X-ray or CT scan.
Surgical treatment included brief intensive resuscitation and a midline xyphopubic laparotomy.
The ideal colectomy was performed in patients in group I.
Two-stage colectomy was performed in patients in group II with Bouilly-Volkmann colostomies and Hartmann's operations.
Continuity was restored electively after Bouilly-Volkmann colostomy and medially after Hartmann's operation.
Mortality was compared for both groups.
Other parameters studied included sociodemographic factors, number of twists, direction of torsion, loop vitality, and time to restoration of colonic continuity for two-stage colectomy.
3. Results
Table 1. Distribution according to patients' sociodemographic characteristics.
Age (n=48)
Workforce
Percentage
Average age (years)
15-24
09
18,75
25-34
05
10,42
35-44
05
10,42
45-54
11
22,91
55-64
10
20,83
65-74
05
10,42
75-84
03
6,25
Sexes (n=48)
Sex ratio (M/F)
3,8
Male
38
79,17
Female
10
20,83
Occupation (n=48)
Farmers/laborers
14
29,17
Liberal
13
27,08
Students
9
18,75
Housewife
6
12,50
Civil servants
6
12,50
Provenance (n=48)
Conakry
39
81,25
Interior of the country
9
18,25
The occlusive syndrome was evident in all cases, with the presence of abdominal pain (100%), vomiting (35.42%) in 17 cases, cessation of bowel movements and gas (100%), abdominal bloating (96%), and a stable general condition in 91.67% (44 patients). Hydro-aerial levels with arches were present on abdominal X-rays without preparation in 100% of cases.
The average duration of symptoms was 89 hours, with extremes ranging from 10 hours to 9 days.
The number of twists was specified in 30 cases: there was a single twist in 26 cases and a double twist in 4 cases.
In group I, the ideal colectomy was performed in 30 cases. In group II, we noted 14 cases of colostomy.
Table 2. Operative mortality after colectomy for pelvic colon volvulus (7 cases / 48 cases, or 14.58%).
Group
Age
Sex
Colon vitality
Preoperative period
Comorbidity
Postoperative period
Causes of death
I
27
M
Good
2 days
Nothing
2 days
Hypovolemic shock
35
M
Good
5 days
Nothing
7 days
Septic shock
65
M
Good
3 days
Nothing
4 days
Septic shock
70
M
Good
6 days
Diabetes and Hypertension
19 days
Septic shock, anastomotic fistula
53
M
Good
7 days
Nothing
13 days
Septic shock
47
M
Good
5 days
Nothing
9 days
Septic shock
II
68
M
Good
9 days
Diabetes
15 days
Diabetic decompensation
4. Discussion
During our study, 176 cases of acute intestinal obstruction were recorded. Of these cases, 48 were cases of pelvic colon volvulus, representing a frequency of 27.27%. This result is similar to that found by Togo H in Mali
[2]
Togo H, Sigmoid colon volvulus in the general surgery department of Gabriel Toure University Hospital. Thesis in general surgery, Bamako 2022 (Mali).
[2]
in 2022, who reported that pelvic colon volvulus accounted for 29.4% of intestinal obstructions and 4% of emergency surgical procedures, and higher than that of Adamou H et al.
[8]
Adamou H, Magagi IA, Habou O, Magagi A, Maazou H, Adamou M, et al. Causes and prognosis of acute mechanical bowel obstructions at the National Hospital of Zinder: cross-sectional study of 171 patients. Pan Afr Med J 2016; 24: 248.
in Niger in 2017, who reported a frequency of 6.43% for pelvic colon volvulus.
This study presents certain limitations, particularly with regard to the choice of the two groups linked to the surgical technique. However, a critical analysis of our results was carried out in order to provide objective information that could help in choosing the most appropriate technique for colonic volvulus surgery.
This series confirmed that volvulus is a condition affecting young adults (average age = 49.5 years) in Africa, as confirmed by several authors
[9]
Ojara EA. Sigmod volvulus in Kenyatta National Hospital. East Afr Med J 1983; 60: 290–6.
[10]
Ayité AE, Kpoussou A, Etey KT, Senah K, Homawoo K. Pelvic colon volvulus at Lome University Hospital (Togo).
[11]
Traoré D, Sanogo Z-Z, Bengaly B, Sissoko F, Coulibaly B, Togola B, et al. Sigmoid volvulus: results of surgical approaches at Bamako University Hospitals. J Chir Viscerale 2014; 151: 104–8.
. It predominantly affects males, and nearly 10% of patients came from inland areas, sometimes more than 200 km away.
The diagnosis of pelvic colon volvulus is suggested by the cardinal syndrome (pain, vomiting, cessation of bowel movements and gas, and abdominal bloating) and is confirmed by an abdominal X-ray without preparation (air-water images). Some of our patients have traveled long distances, sometimes from the interior of the country, thus delaying treatment.
All twists were located on the sigmoid colon. The number of twists was specified in 30 cases: 26 cases involved a single twist and four cases involved two twists.
In the TOURE CT series
[12]
Touré, C. T., Dieng, M., and Mbaye, M. (2003). Results of emergency colectomy in the treatment of colonic volvulus at Dakar University Hospital. Annals of Surgery, 128, 98-101.
[12]
, the average number of turns was 1.5, or approximately 540° of rotation. The degree of rotation varies from 180° to 720° (2 turns) depending on the case
[13]
Ballantyne GH. Review of sigmoid volvulus, Clinical patterns and Pathogenesis. Dis Colon Rectum 1982; 25: 823–30.
[13]
.
As in this study, counterclockwise torsion was the most common
[10]
Ayité AE, Kpoussou A, Etey KT, Senah K, Homawoo K. Pelvic colon volvulus at Lome University Hospital (Togo).
[13]
Ballantyne GH. Review of sigmoid volvulus, Clinical patterns and Pathogenesis. Dis Colon Rectum 1982; 25: 823–30.
[10, 13]
, unlike in CTT's study
[12]
Touré, C. T., Dieng, M., and Mbaye, M. (2003). Results of emergency colectomy in the treatment of colonic volvulus at Dakar University Hospital. Annals of Surgery, 128, 98-101.
[12]
, where clockwise torsion was more common (9 vs. 6), even though the direction was not specified in most cases during their study. As endoscopic detorsion is difficult to perform in our regions, surgery remained the only alternative.
Intraoperative mortality depends on the duration of symptoms, the patient's general condition, the vitality of the twisted loop, and the surgical procedure performed
[9]
Ojara EA. Sigmod volvulus in Kenyatta National Hospital. East Afr Med J 1983; 60: 290–6.
[9]
.
The overall mortality rate was 14% in our series. This rate is comparable to that reported by TOURE CT et al.
[12]
Touré, C. T., Dieng, M., and Mbaye, M. (2003). Results of emergency colectomy in the treatment of colonic volvulus at Dakar University Hospital. Annals of Surgery, 128, 98-101.
[12]
, which was 12% (6/50). However, this mortality rate may be higher, in the range of 26 to 28%
[9]
Ojara EA. Sigmod volvulus in Kenyatta National Hospital. East Afr Med J 1983; 60: 290–6.
[14]
Kayabali L, Zalifoghu A. Sigmoid colon volvulus: Reflections on a second series of 91 cases. Lyon Char 1983; 79: 365–6.
[9, 14]
.
In this series, the mortality rate after ideal colectomy was higher (6 out of 30 cases, or 20%) than in the group that underwent colostomy. In the ideal colectomy group, one death was attributable to a comorbidity, specifically diabetic decompensation.
The other four cases were related to septic shock, two of which were secondary to a stercoral fistula. The deaths occurred between the third and fifteenth days post-operatively. One case of ideal colectomy died on the second day post-operatively in a state of hypovolemic shock.
In the colostomy group, we noted one death out of 14 cases, or 7.14%.
The mortality rate in the ideal colectomy group in this study was comparable to that of CTT 12% (6/50)
[12]
Touré, C. T., Dieng, M., and Mbaye, M. (2003). Results of emergency colectomy in the treatment of colonic volvulus at Dakar University Hospital. Annals of Surgery, 128, 98-101.
[12]
but higher than that reported by Ayité et al. (1 case out of 21)
[10]
Ayité AE, Kpoussou A, Etey KT, Senah K, Homawoo K. Pelvic colon volvulus at Lome University Hospital (Togo).
[10]
.
Other authors recommend ideal colectomy even in cases of intestinal necrosis
[15]
Kocak S, Gecim E, Kesence M, Bumin C, Baykan A, Gurel E. Treatment of acute sigmoid volvulus. Acta chirp Belg 1995; 95: 59–62.
[16]
Salas S, Angel CA, Salas N, Musillo C, Swischuk L. Sigmoid volvulus in children and adolescents. J Am Coll Surg 2000; 190: 717–23.
[15, 16]
. Kocak et al. report a zero mortality rate
[15]
Kocak S, Gecim E, Kesence M, Bumin C, Baykan A, Gurel E. Treatment of acute sigmoid volvulus. Acta chirp Belg 1995; 95: 59–62.
[15]
.
Some authors have reported cases of intraoperative colonic lavage performed in cases that yielded good results comparable to the same safety guarantees on healing conditions compared to a prepared colon
[14]
Kayabali L, Zalifoghu A. Sigmoid colon volvulus: Reflections on a second series of 91 cases. Lyon Char 1983; 79: 365–6.
[14]
.
The mortality rate after two-stage colectomy in this series was 7.14%, or 1 case out of 14 observed during a Bouilly-Volkmann procedure, including 0% after Hartmann's operation. These colostomies are generally performed in the general surgery department of Ignace DEEN Hospital in cases of twisted loop necrosis. When colon necrosis is confirmed, Hartmann's operation appears to have a low mortality rate and few complications
[17]
Faranisi CT. An approach to the management of volvulus of the sigmoid colon. Cent Afr J Med 1990; 36: 31–3.
[17]
.
Mortality was mainly related to septic shock, probably secondary to infection of the peritoneal cavity. This infection was related to necrosis or to anastomotic resection performed on an unprepared colon.
Mortality itself would be attributable not to colectomy, but rather to gangrene of the twisted loop and its consequences, as suggested by some
[8]
Adamou H, Magagi IA, Habou O, Magagi A, Maazou H, Adamou M, et al. Causes and prognosis of acute mechanical bowel obstructions at the National Hospital of Zinder: cross-sectional study of 171 patients. Pan Afr Med J 2016; 24: 248.
Ayité AE, Kpoussou A, Etey KT, Senah K, Homawoo K. Pelvic colon volvulus at Lome University Hospital (Togo).
[8, 10]
.
In this series, gangrene of the twisted loop was noted in 11 patients who had all undergone ostomy surgery, while two other cases with viable loops had also undergone ostomy surgery.
The death in the two-stage colectomy group was consecutive to a Bouilly-Volkmann procedure. It was due to diabetic decompensation occurring on the 15th postoperative day.
Indeed, Bouilly-Volkmann surgery appears to be correlated with a low mortality rate, as confirmed by the CTT results (2/23), or 8.6%
[12]
Touré, C. T., Dieng, M., and Mbaye, M. (2003). Results of emergency colectomy in the treatment of colonic volvulus at Dakar University Hospital. Annals of Surgery, 128, 98-101.
[12]
.
5. Conclusion
Colonic volvulus is common in the general surgery department at Ignace DEEN Hospital. Its treatment is primarily surgical. Endoscopic detorsion is rare in Africa. In the absence of endoscopic detorsion, we recommend performing a two-stage colectomy.
The ideal colectomy has been associated with a high mortality rate. Based on our results, if the vitality of the twisted loop is good, the Bouilly-Volkman procedure seems preferable; if the loop is necrotic, the Hartmann procedure should be considered.
Abbreviations
PCV
Pelvic Colon Volvulus
Conflicts of Interest
The authors declare no conflicts of interest.
References
[1]
Ouchemi C, Mignagnal K, Moussa M A et al. Results of treatment for sigmoid volvulus in N'Djamena, Chad. European Scientific Journal July 2015 edition vol. 11, No 21.
[2]
Togo H, Sigmoid colon volvulus in the general surgery department of Gabriel Toure University Hospital. Thesis in general surgery, Bamako 2022 (Mali).
[3]
Mamy GF, Fofana H, Dabo M, Fofana N, Soumaoro LT, Keita K et al. Colectomy in adults: frequency, indications, and outcomes in the general surgery department of Ignace Deen National Hospital. RECAC. Vol. 3(17), December 2019.
[4]
Ba PA, Determinants of Mortality for Digestive Emergency Surgery in Low-Income Countries: The Case of Senegal. Clin Surg. 2021; 4(9): 1-8.
[5]
Slim K, Vicaut E, Launay-Savary MV, Contant C, Chipponi J, Updated systematic review and meta-analysis of randomized clinical trials on the role of mechanical bowel preparation be-fore colorectal surgery [archive], Ann Surg, 2009; 249: 203-209.
[6]
Oulmoudne N. Sigmoid Volvulus: Retrospective Study of 55 Cases at the Mohamed VI University Hospital in Marrakech [Medical Doctoral Thesis] 2011. (16) 66.
[7]
Lassey JD, Abdoulaye MB, Adakal O, Adamou H, Ide K, Hama Y et al. Ideale Kolektomie vs. zweistufige Notfall-Kolektomie am linken Kolon im Nationalkrankenhaus von Niamey. J Afr Chir Digest 2020; Band 20(2): 3138-3142.
[8]
Adamou H, Magagi IA, Habou O, Magagi A, Maazou H, Adamou M, et al. Causes and prognosis of acute mechanical bowel obstructions at the National Hospital of Zinder: cross-sectional study of 171 patients. Pan Afr Med J 2016; 24: 248.
Touré, C. T., Dieng, M., and Mbaye, M. (2003). Results of emergency colectomy in the treatment of colonic volvulus at Dakar University Hospital. Annals of Surgery, 128, 98-101.
[13]
Ballantyne GH. Review of sigmoid volvulus, Clinical patterns and Pathogenesis. Dis Colon Rectum 1982; 25: 823–30.
[14]
Kayabali L, Zalifoghu A. Sigmoid colon volvulus: Reflections on a second series of 91 cases. Lyon Char 1983; 79: 365–6.
[15]
Kocak S, Gecim E, Kesence M, Bumin C, Baykan A, Gurel E. Treatment of acute sigmoid volvulus. Acta chirp Belg 1995; 95: 59–62.
[16]
Salas S, Angel CA, Salas N, Musillo C, Swischuk L. Sigmoid volvulus in children and adolescents. J Am Coll Surg 2000; 190: 717–23.
[17]
Faranisi CT. An approach to the management of volvulus of the sigmoid colon. Cent Afr J Med 1990; 36: 31–3.
Sandaly, D., Lansana, C. F., Houssein, F., Naby, C. S., Saliou, D. M., et al. (2026). Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry. Journal of Surgery, 14(1), 5-8. https://doi.org/10.11648/j.js.20261401.12
Sandaly, D.; Lansana, C. F.; Houssein, F.; Naby, C. S.; Saliou, D. M., et al. Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry. J. Surg.2026, 14(1), 5-8. doi: 10.11648/j.js.20261401.12
Sandaly D, Lansana CF, Houssein F, Naby CS, Saliou DM, et al. Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry. J Surg. 2026;14(1):5-8. doi: 10.11648/j.js.20261401.12
@article{10.11648/j.js.20261401.12,
author = {Diakite Sandaly and Camara Fode Lansana and Fofana Houssein and Camara Soriba Naby and Diallo Mamadou Saliou and Drame Mohamed and Diakite Saikou Yaya and Bangoura Mamadou Saliou and Conde Ousmane and Cisse Fode and Camara Djiba and Touré Aboubacar},
title = {Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry},
journal = {Journal of Surgery},
volume = {14},
number = {1},
pages = {5-8},
doi = {10.11648/j.js.20261401.12},
url = {https://doi.org/10.11648/j.js.20261401.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20261401.12},
abstract = {Objective. The objective of this study was to evaluate the results of emergency colectomies for acute intestinal obstruction due to pelvic colon volvulus. Patients and methods. This was a two-year prospective study involving 48 cases of pelvic colon volvulus operated on in the General Surgery Department of Ignace DEEN National Hospital between January 1, 2021, and December 31, 2022. This study involved 38 men and 10 women, with a mean age of 49.5 years. All patients presented with clear signs of occlusive syndrome consistent with pelvic colon volvulus. All patients underwent median xyphopubic laparotomy. Patients were divided into two groups. Group I consisted of 34 patients who had undergone an ideal colectomy, and group II consisted of 14 patients who had undergone a colectomy combined with a Bouilly-Volkman or Hartmann colostomy (n = 14), followed by restoration of colonic continuity. Mortality and morbidity were compared for the two groups. The overall mortality rate was 14% (7/48). In group I, this rate was 20% (7/34) and 7.14% (1/14) in group II. Conclusion. In this study, the mortality rate was higher after ideal colectomy than after two-stage colectomy. We recommend conducting a prospective study on a larger sample and encourage two-stage emergency colectomy in the management of pelvic colon volvulus.},
year = {2026}
}
TY - JOUR
T1 - Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry
AU - Diakite Sandaly
AU - Camara Fode Lansana
AU - Fofana Houssein
AU - Camara Soriba Naby
AU - Diallo Mamadou Saliou
AU - Drame Mohamed
AU - Diakite Saikou Yaya
AU - Bangoura Mamadou Saliou
AU - Conde Ousmane
AU - Cisse Fode
AU - Camara Djiba
AU - Touré Aboubacar
Y1 - 2026/02/02
PY - 2026
N1 - https://doi.org/10.11648/j.js.20261401.12
DO - 10.11648/j.js.20261401.12
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 5
EP - 8
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20261401.12
AB - Objective. The objective of this study was to evaluate the results of emergency colectomies for acute intestinal obstruction due to pelvic colon volvulus. Patients and methods. This was a two-year prospective study involving 48 cases of pelvic colon volvulus operated on in the General Surgery Department of Ignace DEEN National Hospital between January 1, 2021, and December 31, 2022. This study involved 38 men and 10 women, with a mean age of 49.5 years. All patients presented with clear signs of occlusive syndrome consistent with pelvic colon volvulus. All patients underwent median xyphopubic laparotomy. Patients were divided into two groups. Group I consisted of 34 patients who had undergone an ideal colectomy, and group II consisted of 14 patients who had undergone a colectomy combined with a Bouilly-Volkman or Hartmann colostomy (n = 14), followed by restoration of colonic continuity. Mortality and morbidity were compared for the two groups. The overall mortality rate was 14% (7/48). In group I, this rate was 20% (7/34) and 7.14% (1/14) in group II. Conclusion. In this study, the mortality rate was higher after ideal colectomy than after two-stage colectomy. We recommend conducting a prospective study on a larger sample and encourage two-stage emergency colectomy in the management of pelvic colon volvulus.
VL - 14
IS - 1
ER -
Sandaly, D., Lansana, C. F., Houssein, F., Naby, C. S., Saliou, D. M., et al. (2026). Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry. Journal of Surgery, 14(1), 5-8. https://doi.org/10.11648/j.js.20261401.12
Sandaly, D.; Lansana, C. F.; Houssein, F.; Naby, C. S.; Saliou, D. M., et al. Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry. J. Surg.2026, 14(1), 5-8. doi: 10.11648/j.js.20261401.12
Sandaly D, Lansana CF, Houssein F, Naby CS, Saliou DM, et al. Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry. J Surg. 2026;14(1):5-8. doi: 10.11648/j.js.20261401.12
@article{10.11648/j.js.20261401.12,
author = {Diakite Sandaly and Camara Fode Lansana and Fofana Houssein and Camara Soriba Naby and Diallo Mamadou Saliou and Drame Mohamed and Diakite Saikou Yaya and Bangoura Mamadou Saliou and Conde Ousmane and Cisse Fode and Camara Djiba and Touré Aboubacar},
title = {Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry},
journal = {Journal of Surgery},
volume = {14},
number = {1},
pages = {5-8},
doi = {10.11648/j.js.20261401.12},
url = {https://doi.org/10.11648/j.js.20261401.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20261401.12},
abstract = {Objective. The objective of this study was to evaluate the results of emergency colectomies for acute intestinal obstruction due to pelvic colon volvulus. Patients and methods. This was a two-year prospective study involving 48 cases of pelvic colon volvulus operated on in the General Surgery Department of Ignace DEEN National Hospital between January 1, 2021, and December 31, 2022. This study involved 38 men and 10 women, with a mean age of 49.5 years. All patients presented with clear signs of occlusive syndrome consistent with pelvic colon volvulus. All patients underwent median xyphopubic laparotomy. Patients were divided into two groups. Group I consisted of 34 patients who had undergone an ideal colectomy, and group II consisted of 14 patients who had undergone a colectomy combined with a Bouilly-Volkman or Hartmann colostomy (n = 14), followed by restoration of colonic continuity. Mortality and morbidity were compared for the two groups. The overall mortality rate was 14% (7/48). In group I, this rate was 20% (7/34) and 7.14% (1/14) in group II. Conclusion. In this study, the mortality rate was higher after ideal colectomy than after two-stage colectomy. We recommend conducting a prospective study on a larger sample and encourage two-stage emergency colectomy in the management of pelvic colon volvulus.},
year = {2026}
}
TY - JOUR
T1 - Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry
AU - Diakite Sandaly
AU - Camara Fode Lansana
AU - Fofana Houssein
AU - Camara Soriba Naby
AU - Diallo Mamadou Saliou
AU - Drame Mohamed
AU - Diakite Saikou Yaya
AU - Bangoura Mamadou Saliou
AU - Conde Ousmane
AU - Cisse Fode
AU - Camara Djiba
AU - Touré Aboubacar
Y1 - 2026/02/02
PY - 2026
N1 - https://doi.org/10.11648/j.js.20261401.12
DO - 10.11648/j.js.20261401.12
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 5
EP - 8
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20261401.12
AB - Objective. The objective of this study was to evaluate the results of emergency colectomies for acute intestinal obstruction due to pelvic colon volvulus. Patients and methods. This was a two-year prospective study involving 48 cases of pelvic colon volvulus operated on in the General Surgery Department of Ignace DEEN National Hospital between January 1, 2021, and December 31, 2022. This study involved 38 men and 10 women, with a mean age of 49.5 years. All patients presented with clear signs of occlusive syndrome consistent with pelvic colon volvulus. All patients underwent median xyphopubic laparotomy. Patients were divided into two groups. Group I consisted of 34 patients who had undergone an ideal colectomy, and group II consisted of 14 patients who had undergone a colectomy combined with a Bouilly-Volkman or Hartmann colostomy (n = 14), followed by restoration of colonic continuity. Mortality and morbidity were compared for the two groups. The overall mortality rate was 14% (7/48). In group I, this rate was 20% (7/34) and 7.14% (1/14) in group II. Conclusion. In this study, the mortality rate was higher after ideal colectomy than after two-stage colectomy. We recommend conducting a prospective study on a larger sample and encourage two-stage emergency colectomy in the management of pelvic colon volvulus.
VL - 14
IS - 1
ER -
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