Synchronic Volvulus of Sigmoid and Transverse Colon: A Rare Case of Large Bowel Obstruction.

Background Selective conservative management of abdominal penetrating trauma can significantly minimize the morbidity and length of hospitalization by decreasing the rate of unnecessary laparotomies. Objectives In the present study, we reported the outcome of newest guidelines of our trauma cen...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Sepideh Sefidbakht, Fariba Zarei
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2014
Materias:	radionuclide imaging intestinal obstruction abdomen acute Medicine R
Acceso en línea:	https://doaj.org/article/be28b56363bc4e9ab966f85458a8f883
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:be28b56363bc4e9ab966f85458a8f883
record_format	dspace
spelling	oai:doaj.org-article:be28b56363bc4e9ab966f85458a8f8832021-11-14T07:57:33ZSynchronic Volvulus of Sigmoid and Transverse Colon: A Rare Case of Large Bowel Obstruction.2783-243010.17795/acr-25906https://doaj.org/article/be28b56363bc4e9ab966f85458a8f8832014-12-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45480_442a56b2f14869d7c038968ce7e0b3ea.pdfhttps://doaj.org/toc/2783-2430Background Selective conservative management of abdominal penetrating trauma can significantly minimize the morbidity and length of hospitalization by decreasing the rate of unnecessary laparotomies. Objectives In the present study, we reported the outcome of newest guidelines of our trauma center in one year. Patients and Methods All patients with anterior abdominal stab wounds who were referred to Rajaiee trauma center between September 2012 and September 2013 were enrolled. Patients without shock, peritonitis, and evisceration who did not require emergency operation were planned for nonoperative management with serial physical examinations, blood cells count, and radiographic investigations. Outcome of nonoperative management was described in order to reveal the advantages and disadvantages of our current guideline. Results Among 45 patients who underwent nonoperative management, 27 cases (60%) required laparotomy due to peritonitis or shock. Rate of unnecessary nontherapeutic operations was 49.2%. Conclusions Minimizing diagnostic procedures such as diagnostic peritoneal lavage and computed tomography can significantly increase the rate of unnecessary operations leading to longer hospitalizations and operation-related morbidity. To reduce the failure rate of nonoperative management and nontherapeutic surgeries, modifications in current guidelines should be made.Sepideh SefidbakhtFariba ZareiShiraz University of Medical Sciencesarticleradionuclide imagingintestinal obstructionabdomenacuteMedicineRENIranian Journal of Colorectal Research, Vol 2, Iss 4, Pp 0-0 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	radionuclide imaging intestinal obstruction abdomen acute Medicine R
spellingShingle	radionuclide imaging intestinal obstruction abdomen acute Medicine R Sepideh Sefidbakht Fariba Zarei Synchronic Volvulus of Sigmoid and Transverse Colon: A Rare Case of Large Bowel Obstruction.
description	Background Selective conservative management of abdominal penetrating trauma can significantly minimize the morbidity and length of hospitalization by decreasing the rate of unnecessary laparotomies. Objectives In the present study, we reported the outcome of newest guidelines of our trauma center in one year. Patients and Methods All patients with anterior abdominal stab wounds who were referred to Rajaiee trauma center between September 2012 and September 2013 were enrolled. Patients without shock, peritonitis, and evisceration who did not require emergency operation were planned for nonoperative management with serial physical examinations, blood cells count, and radiographic investigations. Outcome of nonoperative management was described in order to reveal the advantages and disadvantages of our current guideline. Results Among 45 patients who underwent nonoperative management, 27 cases (60%) required laparotomy due to peritonitis or shock. Rate of unnecessary nontherapeutic operations was 49.2%. Conclusions Minimizing diagnostic procedures such as diagnostic peritoneal lavage and computed tomography can significantly increase the rate of unnecessary operations leading to longer hospitalizations and operation-related morbidity. To reduce the failure rate of nonoperative management and nontherapeutic surgeries, modifications in current guidelines should be made.
format	article
author	Sepideh Sefidbakht Fariba Zarei
author_facet	Sepideh Sefidbakht Fariba Zarei
author_sort	Sepideh Sefidbakht
title	Synchronic Volvulus of Sigmoid and Transverse Colon: A Rare Case of Large Bowel Obstruction.
title_short	Synchronic Volvulus of Sigmoid and Transverse Colon: A Rare Case of Large Bowel Obstruction.
title_full	Synchronic Volvulus of Sigmoid and Transverse Colon: A Rare Case of Large Bowel Obstruction.
title_fullStr	Synchronic Volvulus of Sigmoid and Transverse Colon: A Rare Case of Large Bowel Obstruction.
title_full_unstemmed	Synchronic Volvulus of Sigmoid and Transverse Colon: A Rare Case of Large Bowel Obstruction.
title_sort	synchronic volvulus of sigmoid and transverse colon: a rare case of large bowel obstruction.
publisher	Shiraz University of Medical Sciences
publishDate	2014
url	https://doaj.org/article/be28b56363bc4e9ab966f85458a8f883
work_keys_str_mv	AT sepidehsefidbakht synchronicvolvulusofsigmoidandtransversecolonararecaseoflargebowelobstruction AT faribazarei synchronicvolvulusofsigmoidandtransversecolonararecaseoflargebowelobstruction
_version_	1718429801599991808

Synchronic Volvulus of Sigmoid and Transverse Colon: A Rare Case of Large Bowel Obstruction.

Ejemplares similares