# Laparoscopic Sigmoid Colectomy with Natural Orifice Specimen Extraction in Sigmoid Volvulus

## TL;DR

Laparoscopic sigmoid colectomy with natural orifice specimen extraction is suggested as the best option for selected cases of sigmoid volvulus to prevent recurrence.

## Contribution

The paper highlights laparoscopic colectomy with natural orifice extraction as an optimal solution for selected sigmoid volvulus cases.

## Key findings

- Endoscopic detorsion has a high recurrence risk of up to 90%.
- Laparoscopic colectomy with natural orifice specimen extraction is optimal in selected cases.
- Alternative procedures may reduce recurrence but are less effective than colectomy.

## Abstract

Sigmoid volvulus (SV), the twisting of the sigmoid colon around its own base, is a relatively rare colonic obstruction form. Endoscopic detorsion is the first-line management option in uncomplicated patients. However, recurrence risk is as high as 90%, with a risk of mortality up to 35%. Although procedures such as sigmoidopexy, sigmoidomesopexy, sigmoidomesoplasty, extraperitonealization, or percutaneous endoscopic sigmoidopexy may prevent or reduce SV recurrence, laparoscopic sigmoid colectomy with natural orifice specimen extraction appears to be the optimal choice in selected cases.