Sigmoid Volvulus is a very common cause of large bowel Obstruction. On review of 14 cases of Sigmoid Volvulus underwent Emergency resection and Primary Anastamosis with Tube Caecostomy as a Decompression of colon by Malecots Catheter alternate to Hartmanns or Paul-Mukulicz operations, to reduce the time & another surgery of colostomy closure. The study has been done in a few hospitals where I worked, Coimbatore Medical college from June1987 to April1991, Erode Head Quarters hospital Erode from September 1991 to December 2000 & Perundurai Medical College Hospital, Perundurai from November 2002 to June 2004.