Our Summary

This research paper discusses a surgical procedure for treating a specific intestinal condition called sigmoid volvulus. Sigmoid volvulus is a condition where a part of the large intestine, known as the sigmoid colon, twists around itself, causing a blockage. This paper specifically looks at a surgical method called mini-incision laparotomy.

In a mini-incision laparotomy, a small cut is made in the abdomen to access the affected part of the intestine. The aim is to correct the twist and, if necessary, remove (resect) the damaged portion of the intestine. This method is considered less invasive than traditional surgeries and could potentially offer benefits like less postoperative pain, shorter hospital stay and quicker recovery.

However, the paper doesn’t provide an abstract, which usually provides an overview of the main points, so it’s unclear what the researchers’ specific findings or conclusions are about this method.

FAQs

  1. What is a sigmoidectomy?
  2. What is a mini-incision laparotomy and how is it related to a sigmoidectomy?
  3. What is a sigmoid volvulus and how is it treated surgically?

Doctor’s Tip

After a sigmoidectomy, it is important to follow a high-fiber diet and stay hydrated to prevent constipation and promote healthy bowel movements. It is also crucial to avoid heavy lifting and strenuous activities for a few weeks after the surgery to allow for proper healing. Be sure to follow your doctor’s post-operative instructions and attend all follow-up appointments to ensure a smooth recovery process.

Suitable For

Patients who are typically recommended sigmoidectomy are those who have:

  1. Sigmoid volvulus: This is a condition where the sigmoid colon twists on itself, causing a blockage of the bowel. Sigmoidectomy is often recommended to remove the affected portion of the colon and prevent future episodes of volvulus.

  2. Colon cancer: Sigmoidectomy may be recommended for patients with cancerous tumors located in the sigmoid colon. Surgery is often part of the treatment plan to remove the tumor and surrounding tissues to prevent the spread of cancer.

  3. Diverticulitis: In cases of severe or recurrent diverticulitis (inflammation or infection of small pouches in the colon), sigmoidectomy may be recommended to remove the affected portion of the colon and prevent future flare-ups.

  4. Chronic constipation: In some cases of severe chronic constipation that does not respond to other treatments, sigmoidectomy may be recommended to remove the affected portion of the colon and improve bowel function.

Overall, sigmoidectomy is a surgical procedure that is recommended for patients with specific conditions affecting the sigmoid colon that cannot be effectively treated with other conservative measures. It is important for patients to discuss the risks and benefits of the procedure with their healthcare provider to determine if sigmoidectomy is the best treatment option for their individual situation.

Timeline

Before sigmoidectomy:

  1. Patient presents with symptoms of sigmoid volvulus, such as abdominal pain, bloating, and constipation.
  2. Patient undergoes diagnostic tests, such as imaging studies and colonoscopy, to confirm the diagnosis.
  3. Surgical team discusses the risks and benefits of sigmoidectomy with the patient and obtains informed consent.
  4. Patient undergoes preoperative preparation, including fasting and bowel cleansing.
  5. Patient undergoes sigmoidectomy surgery to remove the affected portion of the sigmoid colon.
  6. Patient recovers in the hospital for a few days following surgery.

After sigmoidectomy:

  1. Patient experiences postoperative pain and discomfort, which is managed with pain medications.
  2. Patient gradually resumes a normal diet and begins to pass gas and have bowel movements.
  3. Patient is monitored for any complications, such as infection or bowel obstruction.
  4. Patient is discharged from the hospital once they are able to tolerate oral intake and have normal bowel function.
  5. Patient follows up with their surgical team for postoperative care and monitoring.
  6. Patient may undergo additional treatments, such as physical therapy, to aid in their recovery.

What to Ask Your Doctor

  1. Why do I need a sigmoidectomy and what are the potential risks and benefits?
  2. What are the alternative treatment options available for my condition?
  3. How experienced are you in performing sigmoidectomies and what is your success rate?
  4. What is the expected recovery time after the surgery and what kind of post-operative care will I need?
  5. What kind of dietary and lifestyle changes should I make after the surgery?
  6. Are there any potential long-term complications or side effects associated with sigmoidectomy?
  7. Will I need any additional follow-up appointments or tests after the surgery?
  8. What can I do to reduce the risk of complications during or after the surgery?
  9. Are there any restrictions on physical activity or work after the surgery?
  10. Can you provide me with information about support groups or resources for patients who have undergone sigmoidectomy?

Reference

Authors: Najah H, Godiris Petit G, Noullet S, Ayed A, Menegaux F, Trésallet C. Journal: J Visc Surg. 2017 Feb;154(1):59-60. doi: 10.1016/j.jviscsurg.2016.11.003. Epub 2017 Jan 31. PMID: 28159499