{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T16:09:41Z","timestamp":1768320581225,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T00:00:00Z","timestamp":1513814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T00:00:00Z","timestamp":1513814400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>In sub\u2010Saharan Africa, sigmoid volvulus is a frequent cause of bowel obstruction. The aim of this study was to evaluate the results of acute sigmoid resection and anastomosis via a mini\u2010laparotomy in patients with uncomplicated sigmoid volvulus, following the principles of \u201cEnhanced Recovery After Surgery (ERAS)\u201d, in a low\u2010resource setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Patients with uncomplicated sigmoid volvulus were operated acutely, via a mini\u2010laparotomy, according to the principles of ERAS. Intraoperative complications, duration of operation, morbidity, mortality and length of hospital stay were evaluated, retrospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 1\u00a0March 2012 to 1 September 2017, 31 consecutive patients were treated with acute sigmoid resection and anastomosis, via a mini\u2010laparotomy. There were 29\u00a0men and 2 women, median age 57 (range 17\u201392) years. Patients were operated after a median period of 4 (range 1.5\u201318) hours. The median duration of the operative procedure was 50 (range 30\u2013105) minutes. Two patients died (6.3%). One patient died during an uncomplicated operation. The cause of death is unknown. One patient with a newly diagnosed HIV infection had an anastomotic dehiscence. After Hartmann\u2019s procedure, he died on the 17th post\u2010operative day as a result of a HIV\u2010related double\u2010sided pneumonia, without signs of abdominal sepsis. One patient had an urinary retention and 1 patient haematuria after bladder catheter insertion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Acute sigmoid resection and primary anastomosis via a mini\u2010laparotomy for uncomplicated sigmoid volvulus, without preoperative endoscopic decompression is a safe procedure with a low morbidity and mortality.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4405-9","type":"journal-article","created":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T18:13:03Z","timestamp":1513879983000},"page":"1590-1596","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Novel Approach to Treat Uncomplicated Sigmoid Volvulus Combining Minimally Invasive Surgery with Enhanced Recovery, in a Rural Hospital in Zambia"],"prefix":"10.1002","volume":"42","author":[{"given":"Niels","family":"van der Naald","sequence":"first","affiliation":[{"name":"Department of Surgery Saint Francis Mission Hospital Private Bag 11 Katete (Eastern Province) Zambia"},{"name":"Department of Surgery Amsterdam Medical Centre Meibergdreef 9 1105 AZ Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marloes I.","family":"Prins","sequence":"additional","affiliation":[{"name":"Department of Surgery Saint Francis Mission Hospital Private Bag 11 Katete (Eastern Province) Zambia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kars","family":"Otten","sequence":"additional","affiliation":[{"name":"Department of Surgery Saint Francis Mission Hospital Private Bag 11 Katete (Eastern Province) Zambia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dayson","family":"Kumwenda","sequence":"additional","affiliation":[{"name":"Department of Surgery Saint Francis Mission Hospital Private Bag 11 Katete (Eastern Province) Zambia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert P.","family":"Bleichrodt","sequence":"additional","affiliation":[{"name":"Department of Surgery Saint Francis Mission Hospital Private Bag 11 Katete (Eastern Province) Zambia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,21]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i48.18384"},{"issue":"1","key":"e_1_2_6_3_2","first-page":"13","article-title":"Management of sigmoid volvulus: options and prognosis","volume":"24","author":"Maddah G","year":"2014","journal-title":"J Coll Physicians Surg 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