NCT01682395

Best Management of Sigmoid Volvulus: A Prospective Randomized Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 29 (actual)
• Sponsor: University of North Carolina, Chapel Hill · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to obtain a better understanding of the best management of left-sided colonic emergencies.

Detailed description

Participants: Patients 18 years or older presenting to Kamuzu Central Hospital in Lilongwe Malawi with sigmoid volvulus will be eligible for inclusion. Procedures (methods): This is a prospective randomized trial. Subjects will be randomized during surgery to receive resection and anastomosis or mesosigmoidopexy (for non-gangrenous sigmoid volvulus), and resection and anastomosis or Hartmann's procedure (for gangrenous sigmoid volvulus).

Conditions

• Intestinal Volvulus
• Colon, Sigmoid

Interventions

Type	Name	Description
PROCEDURE	Resection and anastomosis	Resection of sigmoid colon with primary anastomosis
PROCEDURE	Resection and colostomy	Resection of sigmoid colon with end colostomy and Hartmann's pouch, followed at a later date by Hartmann's reversal as a second surgical procedure
PROCEDURE	Mesosigmoidopexy	Mesosigmoidopexy--the fixation of the sigmoid colon to lateral abdominal wall with concomitant shortening of the mesosigmoid length.

Timeline

• Start date: 2013-02-01
• Primary completion: 2014-04-01
• Completion: 2014-04-01
• First posted: 2012-09-10
• Last updated: 2017-12-12

Locations

1 site across 1 country: Malawi