Reply to ‘Comment on mesopexy and mesoplasty in sigmoid volvulus recurrence’

Management of Sigmoid Volvulus: A Literature Review

“…However, fixation must be performed carefully to avoid blocking mesenteric vessels. 32,37 The prognosis of this technique is similar to sigmoidopexy with 1 to 8% mortality, 10 to 20% morbidity, and 10 to 25% recurrence rates. 1,2,10,19,37 Mesoplasty (mesosigmoidoplasty) is a relatively onerous procedure, in which the sigmoid mesentery is cut longitudinally and sutured transversely to distort the dolichosigmoid (►Fig.…”

“…1C ). 32 37 It is also a less recommended technique in the cases with moderate general situation, particularly in urgent surgery. 2 10 13 It takes longer time in addition to its mesenteric devascularization risk.…”

“…2,10,13 It takes longer time in addition to its mesenteric devascularization risk. 32,37 This procedure carries 1 to 10% mortality, 10 to 30% morbidity, and 5 to 15% recurrence risks. 2,5,10,19,[37][38][39] In extraperitonealization, the apical part of the sigmoid colon is fixed to the parietal peritoneum by using a peritoneal flap (►Fig.…”

“…32,37 This procedure carries 1 to 10% mortality, 10 to 30% morbidity, and 5 to 15% recurrence risks. 2,5,10,19,[37][38][39] In extraperitonealization, the apical part of the sigmoid colon is fixed to the parietal peritoneum by using a peritoneal flap (►Fig. 1D), which may be performed by open or laparoscopic surgery.…”

“…1B ). 32 37 Similar to sigmoidopexy, mesopexy is generally used as an urgent procedure in ill-conditioned patients. 2 10 To reduce recurrence risk, a horseshoe-shaped suturing is preferred.…”