Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	127088
DOI	10.4240/wjgs.127088
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Retrospective Cohort Study
Article Title	Clinical outcomes of Hartmann’s procedure vs sigmoidectomy with primary anastomosis for sigmoid volvulus in the emergency setting
Manuscript Source	Unsolicited Manuscript
All Author List	Hui Xiao and Min-Zhe Li
Funding Agency and Grant Number
Corresponding Author	Min-Zhe Li, Professor, Department of General Surgery, Capital Medical University Beijing Chaoyang Hospital, Beijing 100020, China. diaomei2017@sina.com
Key Words	Sigmoid volvulus; Hartmann’s procedure; Sigmoidectomy; Primary anastomosis; Large bowel obstruction
Core Tip	For emergency sigmoid volvulus, short-term morbidity and in-hospital mortality were comparable between Hartmann’s procedure and sigmoidectomy with primary anastomosis, despite higher baseline rates of bowel gangrene in the Hartmann’s group. Selected hemodynamically stable patients with well-perfused bowel margins and limited peritoneal contamination may safely undergo sigmoidectomy with primary anastomosis in experienced hands. Hartmann’s procedure remains a safe preferred option for unstable patients with extensive colonic gangrene and severe peritoneal soiling, though most patients require a subsequent elective stoma-closure operation. No anastomotic leakage was observed in our cohort for either emergency primary anastomosis or later stoma reversal, supporting careful intraoperative patient selection.
Citation	Xiao H, Li MZ. Clinical outcomes of Hartmann’s procedure vs sigmoidectomy with primary anastomosis for sigmoid volvulus in the emergency setting. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.127088
PDF	127088-in-press.pdf

Received	2026-08-24 02:47
Peer-Review Started	2026-08-24 02:47
First Decision by Editorial Office Director
Return for Revision	2026-09-14 05:50
Revised	2026-09-22 08:12
Publication Fee Transferred	2026-10-25 13:30
Second Decision by Editor	2026-11-13 03:13
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-11-13 10:28
Articles in Press	2026-11-13 10:28
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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