Sigmoid volvulus First choice is sigmoidoscopy with volvulus reduction. Second choice is sigmoid colectomy. Cecal volvulus First choice is hemicolectomy. Second choice is colonoscopy. Sigmoid obstruction secondary to diverticulitis or carcinoma Procedure of choice is a sigmoid resection and Hartman procedure or a sigmoid resection.
Alternative is primary anastomosis.
First choice is extended hemicolectomy. Second choice is proximal colostomy with delayed resection. The following antibiotics do not represent an all-inclusive list. Antibiotics - Therapy must cover all likely pathogens in the context of the clinical setting. Also effective against aerobic and anaerobic streptococci, except enterococci.