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Left iliac fossa mini-incision on post operative day 4 (Short arrow: umbilicus, Long arrow left anterior superior iliac spine).
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Under general anesthesia, the patient in supine position, a left iliac fossa skin incision of about 5 cm was undertaken (mirror image of McBurney incision) (Fig. 1).
Exteriorization of the sigmoid colon showing the mini-incision in left iliac fossa.
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The dilated redundant colon was exteriorized and carefully inspected for viability (Fig. 2).
Exteriorization of the whole redundant sigmoid colon.
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A critical step was to ensure the retrieval of the whole redundant colon proximally and distally until the rectosigmoid junction, in order not to leave any redundant colonic segment which could later predispose to recurrence of the volvulus (Fig. 3).