PMID: 9660026Jul 11, 1998Paper

The fate of colonic suture lines in high-risk trauma patients: a prospective analysis

Journal of the American College of Surgeons
E E CornwellD Demetriades

Abstract

Some authors have stated that virtually all patients with penetrating colon injuries can be safely managed with primary repair. The purpose of this study is to test the applicability of this statement to all trauma patients by evaluating a protocol of liberal primary repair applied to a group of patients at high risk of septic complications. We performed a prospective analysis of a liberal policy of primary repair applied to patients at high risk of developing postoperative septic complications admitted to a Level I urban trauma center. Inclusion criteria were full-thickness colon injury and at least one of three additional risk factors: 1) Penetrating Abdominal Trauma Index (PATI) of 25 or more; 2) 6 U or more of blood transfused; and 3) 6 hours or longer elapsed between injury and surgery. Of 56 patients studied (55 male, 1 female, average age 28.8 years, mean PATI 35.3), the vast majority had gunshot wounds as the mechanism of injury (89%), PATI 25 or more (95%), multiple blood transfusions (77%), an Injury Severity Score greater than 15 (66%), and a need for postoperative ventilatory support in the surgical intensive care unit (61%). Of 56 patients, 49 (88%) had at least one colonic suture line, and 25 patients (45%) had de...Continue Reading

References

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Citations

Jul 22, 2006·Diseases of the Colon and Rectum·Robert K ClearyRichard M Lampman
Sep 23, 2011·The Indian Journal of Surgery·Osman MusaMahesh C Pandey
May 6, 2004·Injury·D Demetriades
Jul 31, 2001·Injury·D M BowleyF Plani
Jan 18, 2003·Injury·Eileen M BulgerGregory J Jurkovich
May 30, 2002·Annals of Surgery·Preston R MillerRonald M Stewart
Dec 12, 2001·The Journal of Trauma·S I BrundageUNKNOWN WTA Multi-institutional Study Group. Western Trauma Association
Nov 11, 2009·The Journal of Trauma·Jordan A WeinbergLoring W Rue
Apr 21, 2009·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Muhammad U ButtGeorge C Velmahos
Sep 7, 2002·Annals of the Royal College of Surgeons of England·C MacFarlane
Aug 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Akif S GürHakan Küpeli
Aug 16, 2005·Injury·George Tzovaras, Constantine Hatzitheofilou
Mar 31, 2005·Current Surgery·Marc W Herr, Ronald A Gagliano
Jul 18, 2014·Surgery Today·Evangelos D LolisKritolaos Daskalakis
May 24, 2001·The Journal of Trauma·D DemetriadesUNKNOWN Committee on Multicenter Clinical Trials. American Association for the Surgery of Trauma
Jul 26, 2002·The Cochrane Database of Systematic Reviews·R Nelson, M Singer
May 17, 2018·Trauma Surgery & Acute Care Open·John P SharpeMartin A Croce
Feb 19, 2019·Advanced Materials·Sangyul BaikChanghyun Pang
Mar 10, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·David E GerberMichael B Streiff
Jan 20, 2005·Diseases of the Colon and Rectum·Adedoyin A Adesanya, Ekanem E Ekanem
Nov 16, 2017·The Journal of Trauma and Acute Care Surgery·Carlos V R BrownUNKNOWN AAST Contemporary Management of Rectal Injuries Study Group
Sep 24, 2016·Annals of the Royal College of Surgeons of England·B ShaziD L Clarke
Aug 15, 2003·The Cochrane Database of Systematic Reviews·R Nelson, M Singer
Aug 24, 2012·The Journal of Trauma and Acute Care Surgery·John P SharpeMartin A Croce
Jan 29, 2013·The Journal of Trauma and Acute Care Surgery·John P SharpeMartin A Croce
Jun 1, 2021·ANZ Journal of Surgery·George OosthuizenDamian Clarke

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