THE EVALUATION OF RELATIONSHIP BETWEEN MESOSIGMOID DIAMETERS IN CREATING SIGMOID VOLVULUS
Esmaeil Hajinasrollah MD*, Fateme Moghimi MD, Hadi Mirhashemi MD, Hasan Peyvandy MD, Bahador Oshidari MD, Faribors Rashno MD and Ghazal Hajinasrollah MD
ABSTRACT
Background: In the sigmoid volvulus, the sigmoid region of the colon wraps around itself and its mesentery. Definite role of these factors is not yet obvious in Iranian population. Hence in this study the association of different sigmoid measurements with sigmoid volvulus was assessed. Methods and materials: In this case-control study, 49 patients under elective surgeries in a general training hospital in 2015 and 2016 were enrolled. Patients were two groups including those with and those without sigmoid volvulus and sigmoid measurements in two groups were compared. Results: The total sigmoid length was 25.6 ± 3.9 and 54.92 ± 9.4 in case and control groups, respectively with significant difference (P=0.0001). Mesosigmoid length was 73.8 ± 20.4 and 16.9 ± 3.4 in case and control groups, respectively with significant difference (P=0.0001). Base of mesosigmoid length was 10.1 ± 3.6 and 9.5 ± 2.7 in case and control groups, respectively with significant difference (P > 0.05). Conclusion: Totally according to our results it may be concluded that anatomical findings of sigmoid support the assertion that sigmoid volvulus is due to a long and wide mesosigmoid that rotates on a constant mesosigmoid root width.
Keywords: In the sigmoid volvulus, the sigmoid region of the colon wraps around.
[Full Text Article]
[Download Certificate]