Canadian attitudes toward use of primary repair in management of colon trauma. A survey of 317 members of the Canadian Association of General Surgeons

Diseases of the Colon and Rectum
M E Pezim, J A Vestrup

Abstract

The majority of recent American articles on management of colon trauma promote liberal use of primary repair. The extent to which Canadian surgeons have embraced such recommendations is unknown. To determine the current attitude of Canadian surgeons toward the use of primary repair, we surveyed the members of The Canadian Association of General Surgeons regarding their management of three fictitious cases of penetrating and blunt colon trauma. Three hundred seventeen members of the Canadian Association of General Surgeons responded. Ninety-two percent managed a fictitious case of early, uncontaminated stab wounds by primary repair. Delay in treatment or fecal contamination was associated with a significantly reduced number of respondents choosing primary repair (P < 0.001). Surgeons were less likely to choose primary repair for management of a case of blunt colon injury (35 percent; P <0.001), and only 25 percent considered primary repair an option for a case of low velocity bullet wounds; 2 percent chose it for high velocity bullet wounds. Overall, the most common response to colon trauma scenarios was colostomy. However, 96 percent of respondents selected primary repair as the treatment of choice for at least one clinical sit...Continue Reading

References

May 1, 1991·Annals of Surgery·C W ChappuisI Cohn
Jun 1, 1989·Annals of Surgery·S M GeorgeL G Britt
Jul 1, 1988·American Journal of Surgery·S M GeorgeE C Mangiante

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Citations

May 6, 2004·Injury·D Demetriades
Feb 17, 1998·The Journal of Trauma·N EshraghiD D Trunkey
Oct 8, 2011·Journal of the Korean Society of Coloproctology·Won Jun Choi
Apr 9, 2010·Rheumatology International·Riffat IqbalMuhammad Arshad
Jul 1, 1997·Diseases of the Colon and Rectum·S K PatankarS E Perozo

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