Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry

Objective. The objective of this study was to evaluate the results of emergency colectomies for acute intestinal obstruction due to pelvic colon volvulus. Patients and methods. This was a two-year prospective study involving 48 cases of pelvic colon volvulus operated on in the General Surgery Department of Ignace DEEN National Hospital between January 1, 2021, and December 31, 2022. This study involved 38 men and 10 women, with a mean age of 49.5 years. All patients presented with clear signs of occlusive syndrome consistent with pelvic colon volvulus. All patients underwent median xyphopubic laparotomy. Patients were divided into two groups. Group I consisted of 34 patients who had undergone an ideal colectomy, and group II consisted of 14 patients who had undergone a colectomy combined with a Bouilly-Volkman or Hartmann colostomy (n = 14), followed by restoration of colonic continuity. Mortality and morbidity were compared for the two groups. The overall mortality rate was 14% (7/48). In group I, this rate was 20% (7/34) and 7.14% (1/14) in group II. Conclusion. In this study, the mortality rate was higher after ideal colectomy than after two-stage colectomy. We recommend conducting a prospective study on a larger sample and encourage two-stage emergency colectomy in the management of pelvic colon volvulus.