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

Received: 4 December 2025     Accepted: 26 December 2025     Published: 2 February 2026
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Abstract

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.

Published in Journal of Surgery (Volume 14, Issue 1)
DOI 10.11648/j.js.20261401.12
Page(s) 5-8
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2026. Published by Science Publishing Group

Keywords

Volvulus, Sigmoid, Colectomy, Hartmann and Volkmann

References
[1] Ouchemi C, Mignagnal K, Moussa M A et al. Results of treatment for sigmoid volvulus in N'Djamena, Chad. European Scientific Journal July 2015 edition vol. 11, No 21.
[2] Togo H, Sigmoid colon volvulus in the general surgery department of Gabriel Toure University Hospital. Thesis in general surgery, Bamako 2022 (Mali).
[3] Mamy GF, Fofana H, Dabo M, Fofana N, Soumaoro LT, Keita K et al. Colectomy in adults: frequency, indications, and outcomes in the general surgery department of Ignace Deen National Hospital. RECAC. Vol. 3(17), December 2019.
[4] Ba PA, Determinants of Mortality for Digestive Emergency Surgery in Low-Income Countries: The Case of Senegal. Clin Surg. 2021; 4(9): 1-8.
[5] Slim K, Vicaut E, Launay-Savary MV, Contant C, Chipponi J, Updated systematic review and meta-analysis of randomized clinical trials on the role of mechanical bowel preparation be-fore colorectal surgery [archive], Ann Surg, 2009; 249: 203-209.
[6] Oulmoudne N. Sigmoid Volvulus: Retrospective Study of 55 Cases at the Mohamed VI University Hospital in Marrakech [Medical Doctoral Thesis] 2011. (16) 66.
[7] Lassey JD, Abdoulaye MB, Adakal O, Adamou H, Ide K, Hama Y et al. Ideale Kolektomie vs. zweistufige Notfall-Kolektomie am linken Kolon im Nationalkrankenhaus von Niamey. J Afr Chir Digest 2020; Band 20(2): 3138-3142.
[8] Adamou H, Magagi IA, Habou O, Magagi A, Maazou H, Adamou M, et al. Causes and prognosis of acute mechanical bowel obstructions at the National Hospital of Zinder: cross-sectional study of 171 patients. Pan Afr Med J 2016; 24: 248.
[9] Ojara EA. Sigmod volvulus in Kenyatta National Hospital. East Afr Med J 1983; 60: 290–6.
[10] Ayité AE, Kpoussou A, Etey KT, Senah K, Homawoo K. Pelvic colon volvulus at Lome University Hospital (Togo).
[11] Traoré D, Sanogo Z-Z, Bengaly B, Sissoko F, Coulibaly B, Togola B, et al. Sigmoid volvulus: results of surgical approaches at Bamako University Hospitals. J Chir Viscerale 2014; 151: 104–8.
[12] Touré, C. T., Dieng, M., and Mbaye, M. (2003). Results of emergency colectomy in the treatment of colonic volvulus at Dakar University Hospital. Annals of Surgery, 128, 98-101.
[13] Ballantyne GH. Review of sigmoid volvulus, Clinical patterns and Pathogenesis. Dis Colon Rectum 1982; 25: 823–30.
[14] Kayabali L, Zalifoghu A. Sigmoid colon volvulus: Reflections on a second series of 91 cases. Lyon Char 1983; 79: 365–6.
[15] Kocak S, Gecim E, Kesence M, Bumin C, Baykan A, Gurel E. Treatment of acute sigmoid volvulus. Acta chirp Belg 1995; 95: 59–62.
[16] Salas S, Angel CA, Salas N, Musillo C, Swischuk L. Sigmoid volvulus in children and adolescents. J Am Coll Surg 2000; 190: 717–23.
[17] Faranisi CT. An approach to the management of volvulus of the sigmoid colon. Cent Afr J Med 1990; 36: 31–3.
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    Sandaly, D., Lansana, C. F., Houssein, F., Naby, C. S., Saliou, D. M., et al. (2026). Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry. Journal of Surgery, 14(1), 5-8. https://doi.org/10.11648/j.js.20261401.12

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    ACS Style

    Sandaly, D.; Lansana, C. F.; Houssein, F.; Naby, C. S.; Saliou, D. M., et al. Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry. J. Surg. 2026, 14(1), 5-8. doi: 10.11648/j.js.20261401.12

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    AMA Style

    Sandaly D, Lansana CF, Houssein F, Naby CS, Saliou DM, et al. Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry. J Surg. 2026;14(1):5-8. doi: 10.11648/j.js.20261401.12

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  • @article{10.11648/j.js.20261401.12,
      author = {Diakite Sandaly and Camara Fode Lansana and Fofana Houssein and Camara Soriba Naby and Diallo Mamadou Saliou and Drame Mohamed and Diakite Saikou Yaya and Bangoura Mamadou Saliou and Conde Ousmane and Cisse Fode and Camara Djiba and Touré Aboubacar},
      title = {Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry},
      journal = {Journal of Surgery},
      volume = {14},
      number = {1},
      pages = {5-8},
      doi = {10.11648/j.js.20261401.12},
      url = {https://doi.org/10.11648/j.js.20261401.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20261401.12},
      abstract = {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.},
     year = {2026}
    }
    

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  • TY  - JOUR
    T1  - Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry
    AU  - Diakite Sandaly
    AU  - Camara Fode Lansana
    AU  - Fofana Houssein
    AU  - Camara Soriba Naby
    AU  - Diallo Mamadou Saliou
    AU  - Drame Mohamed
    AU  - Diakite Saikou Yaya
    AU  - Bangoura Mamadou Saliou
    AU  - Conde Ousmane
    AU  - Cisse Fode
    AU  - Camara Djiba
    AU  - Touré Aboubacar
    Y1  - 2026/02/02
    PY  - 2026
    N1  - https://doi.org/10.11648/j.js.20261401.12
    DO  - 10.11648/j.js.20261401.12
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 5
    EP  - 8
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20261401.12
    AB  - 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.
    VL  - 14
    IS  - 1
    ER  - 

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Author Information
  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

  • Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea

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