Evolution of the operative management of colon trauma

Trauma Surgery & Acute Care Open
John P SharpeMartin A Croce

Abstract

For any trauma surgeon, colon wounds remain a relatively common, yet sometimes challenging, clinical problem. Evolution in operative technique and improvements in antimicrobial therapy during the past two centuries have brought remarkable improvements in both morbidity and mortality after injury to the colon. Much of the early progress in management and patient survival after colon trauma evolved from wartime experience. Multiple evidence-based studies during the last several decades have allowed for more aggressive management, with most wounds undergoing primary repair or resection and anastomosis with an acceptably low suture line failure rate. Despite the abundance of quality evidence regarding management of colon trauma obtained from both military and civilian experience, there remains some debate among institutions regarding management of specific injuries. This is especially true with respect to destructive wounds, injuries to the left colon, blunt colon trauma and those wounds requiring colonic discontinuity during an abbreviated laparotomy. Some programs have developed data-driven protocols that have simplified management of destructive colon wounds, clearly identifying those high-risk patients who should undergo divers...Continue Reading

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Citations

Mar 9, 2018·BMC Health Services Research·Sandra BraafBelinda J Gabbe
Apr 28, 2020·ANZ Journal of Surgery·Cino Bendinelli
Feb 23, 2021·The Journal of Trauma and Acute Care Surgery·Zain G HashmiAdil H Haider
Jun 1, 2021·ANZ Journal of Surgery·George OosthuizenDamian Clarke
May 25, 2021·International Journal of Surgery Case Reports·Basem ALShareefNourah ALSaleh

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