Dr. Ankur Bhanushali

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VOLVULUS

Volvulus

A Life-Threatening Twisting of the Intestine Requiring Emergency Surgery

Advanced Emergency & Laparoscopic Surgical Care in Thane – By Dr. Ankur Bhanushali


What Is Volvulus?

Volvulus is a serious condition in which a loop of intestine twists around itself and the supporting mesentery, causing complete bowel obstruction and loss of blood supply.
If not treated urgently, it can lead to gangrene and bowel perforation.


Types of Volvulus

Sigmoid volvulus – Most common in adults
Cecal volvulus – Involves the beginning of the large intestine
Midgut volvulus – Common in infants (malrotation)
Gastric volvulus – Rare but dangerous

Each type requires prompt diagnosis.


Causes of Volvulus

✔ Long, mobile intestine
✔ Chronic constipation
✔ Intestinal malrotation
✔ Previous abdominal surgery
✔ Neurological disorders
✔ Pregnancy or abdominal masses


Who Is at Risk?

✔ Elderly individuals
✔ Bedridden patients
✔ Patients with chronic bowel issues
✔ Infants with congenital intestinal defects


Symptoms of Volvulus

✔ Sudden severe abdominal pain
✔ Abdominal distension
✔ Vomiting (often green or fecal)
✔ Inability to pass stools or gas
✔ Rapid heartbeat and dehydration

This condition worsens rapidly.


Danger Signs That Need Emergency Care

✔ Persistent severe pain
✔ Bloody stools
✔ Fever and shock
✔ Severe abdominal swelling

Immediate hospitalization is critical.


Complications If Untreated

✔ Intestinal gangrene
✔ Perforation
✔ Peritonitis
✔ Septic shock

Delay increases mortality risk.


Diagnosis of Volvulus

✔ X-ray abdomen (coffee-bean sign)
✔ CT scan abdomen (gold standard)
✔ Blood tests to assess infection
✔ Contrast studies (selected cases)

CT scan confirms site and severity.


Treatment Options

Non-Surgical Management (Selected Cases)

✔ Endoscopic detorsion for sigmoid volvulus
✔ Temporary relief
✔ High recurrence risk

Used only in stable patients.


Surgical Treatment

✔ Laparoscopic or open surgery
✔ Untwisting of bowel
✔ Resection of gangrenous intestine
✔ Stoma creation if needed

Surgery is definitive treatment.


Recovery After Volvulus Surgery

✔ Hospital stay: 5–7 days
✔ Gradual return to diet
✔ Pain control and antibiotics
✔ Close postoperative monitoring

Early treatment ensures better recovery.


Can Volvulus Be Prevented?

✔ Treat chronic constipation
✔ Timely surgery for recurrent volvulus
✔ Monitoring high-risk patients


Emergency Volvulus Surgery in Thane

Management includes:
✔ Rapid imaging
✔ Experienced emergency surgeon
✔ ICU support
✔ Advanced laparoscopic facilities

Every hour matters.


Why Choose Dr. Ankur Bhanushali?

✔ Extensive experience in emergency bowel surgery
✔ Expertise in laparoscopic intestinal procedures
✔ Patient-focused, ethical care
✔ High success rates


Aayush Multispeciality Hospital – Full Address

📍 1st Floor, Marigold Apartment
Almeda Road, Panch Pakhdi,
Thane West – 400602,
Maharashtra, India

📞 +91 86910 33033
🌐 https://drankurbhanushali.com
📍 Google Maps: https://maps.app.goo.gl/3Msc7YZqVkV9mQMQ7


Dr. Ankur Surgical Clinic – Full Address

📍 Shop No. 4, Laxmi Krupa Building
Edulji Road, Charai,
Thane West – 400602,
Maharashtra, India

📞 +91 86910 33066
🌐 https://bestsurgeoninthane.com
📍 Google Maps: https://maps.app.goo.gl/XmmGNbgFyhGcqfvV6

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