In a comprehensive analysis of 1,083 sigmoid volvulus cases treated over 58 years, primary anastomosis emerged as the superior technique compared to stoma creation following urgent sigmoidectomy. Key findings include significantly lower complication rates, shorter hospitalization durations, and reduced costs associated with primary anastomosis. Notably, patients undergoing primary anastomosis experienced fewer incidents of shock, bowel gangrene, and perforation. However, stoma remains preferable for older patients or those in poorer health.
Journal Article by Agirman E, Disci E, Peksoz R and Atamanalp SS in Pak J Med Sci
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