Repair Volvulus

Repair Volvulus is a surgery to reposition bowel torsion (volvulus).
Volvulus is a condition characterized by severe abdominal pain is colicky abdominal colic attacks there in which the persistent abdominal pain, abdominal bloating due to abdominal distension is often accompanied by nausea and vomiting.
There is a picture of a typical x-ray photograph image of a car tire with great curves and where examination using a slurry of barium x-ray photograph the bird's beak looks a picture.
Indications of surgery

    * Strangulation
Contra indications operation

    * People with bad general condition
Differential diagnosis

    * Carcinoma of colon
    * Diverticulitis
    * Stricture rectum
    * Hirschsprung Disease
Investigations

    * Plain abdominal
    * Photo of barium
Engineering Operations
Management
In principle there are two management volvulus, namely:
I. Operation
Surgical technique depends on the kind of volvulus:
1. Cecum volvulus
Resection performed with ileokolostomi terminolateral ileosekal
2. Sigmoid volvulus
Generally done with anastomosis sigmoidektomi terminal terminology but if circumstances do not generally allow for primary anastomosis can be performed Hartmann's procedure (resection of the sigmoid colon with end kolokutoneostomi oral and anal colonic end closing). After the general state of the new permit be done by eliminating kolokutoneostomi kolokolostomi anastomosis. If things do not generally allow enough detorsi, then fixation of the sigmoid (sigmoidopeksi).
II. Non-operating
Action with rektoskop decompression, colonoscope or flexible pipe.
Complications of surgery
Action sigmoid fixation (sigmoidopeksi) raises recurrence of 90% is also in action with rektoskop decompression, colonoscope or flexible pipes cause of recurrence 40-70%.
Mortality
Decompression with rektoskop action, colonoscope or flexible pipe has a low mortality rate is 5-8% while the actions of resection / kolopeksi have a high mortality rate of 0-22%.
Post-Surgical Care

    * Maintain nosogastric 1-3 days
    * Diet orally administered after functioning digestive tract begins with a liquid diet that is gradually given soft food and solid
    * Actual as early as possible