Which surgical procedures are no longer performed in the treatment of sigmoid volvulus?

Updated: Nov 28, 2018
  • Author: Scott C Thornton, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

The Mikulicz resection is of historic interest only and is rarely performed today. It involves exteriorization of the volvulus via a lateral oblique incision. The sigmoid loop is amputated, and a double-barrel colostomy is created.

Sigmoidopexy is never a surgical option, because it is associated with a recurrence rate of 40-50%. Mesenteric plication procedures have been described but are not recommended, because of the associated high recurrence rates.


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