Various surgical procedures such as resection and primary anastomosis, derotation and sigmoidopexy
, exteriorization (Hartmann's procedure), Paul-Mikulicz colostomy, and mesocoloplasty are advocated for surgical treatment.
A right hemicolectomy with ileotransverse anastomosis with sigmoidopexy
Sigmoid volvulus treated with endoscopic sigmoidopexy
. Gastrointest Endosc 1993;39:194-196.
In non-gangrenous cases, only derotation may be performed in high-risk with a volvulus-preventing procedure, like mesosigmoidoplasty, sigmoidopexy
, or mesocoloplasty followed by bowel preparation and elective resection with end to end anastomosis.
[6,7,8,9] In early pregnancy, Sigmoid Volvulus can be managed by lesser invasive procedures like sigmoidoscopic detorsion [8,10] or surgical intervention without colostomy like laparotomy and sigmoidopexy
 or resection and primary anastomosis, though the problem is likely to recur.