Civilian colon trauma: factors that predict success by primary repair

Diseases of the Colon and Rectum
R M DurhamW E Longo

Abstract

Primary repair has become the most common method of treatment for civilian injuries of the colon. However, colostomy may still be required in selected patients. This study was undertaken to identify factors for the performance of colostomy in patients with colon injuries. During a 60-month period, all penetrating injuries to the colon treated at Saint Louis University Hospital were evaluated. All patients underwent an operation within six hours of injury. Rectal injuries were excluded. One hundred thirty consecutive patients with injuries to the colon were identified. Primary repair was performed in 81 patients (62 percent). Fecal diversion was used in 49 patients (38 percent). No deaths occurred related to colon injury. Complications related to colon injury included wound infections in 22 patients (17 percent) and intra-abdominal complications in 16 patients (abscess, 14; fecal fistula, 1). Wound complications were most closely related to whether the skin was closed primarily or left open (22 vs. 8 percent). Intra-abdominal complications occurred in 7 percent of patients in whom the colon injury was closed primarily and in 20 percent of patients in whom a stoma was created (P > 0.05). Patients chosen for colostomy had signific...Continue Reading

References

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Citations

Aug 15, 2003·The Cochrane Database of Systematic Reviews·R Nelson, M Singer
Jan 20, 2005·Diseases of the Colon and Rectum·Adedoyin A Adesanya, Ekanem E Ekanem
May 2, 2000·Diseases of the Colon and Rectum·J K ConradS A Livingston
May 25, 2002·ANZ Journal of Surgery·Malcolm SteelIan Jones
Jun 19, 2003·The Journal of Trauma·Ahmad Mahajna, Michael M Krausz
May 12, 2009·The Journal of Trauma·Amy VertreesCraig Shriver
Jul 22, 2006·Diseases of the Colon and Rectum·Robert K ClearyRichard M Lampman
Aug 10, 2011·Diseases of the Colon and Rectum·Scott R SteeleEric K Johnson
Jul 5, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Eric K Johnson, Scott R Steele
May 30, 2002·Annals of Surgery·Preston R MillerRonald M Stewart
Oct 13, 2019·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Robert J SealockKoushik Das
Jun 1, 2021·ANZ Journal of Surgery·George OosthuizenDamian Clarke

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