Skip to main content
PMC home page
Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1992 Nov;74(6):381–384.

Gunshot wounds of the colon: role of primary repair.

D Demetriades 1, D Charalambides 1, D Pantanowitz 1
PMCID: PMC2497694  PMID: 1471831

Abstract

This is a prospective study of 100 patients with bullet injuries of the colon. Primary repair was performed except in cases of severe colonic damage requiring colectomy or in the presence of disseminated gross peritoneal contamination. Primary repair was performed in 76% with an incidence of abdominal sepsis of 11.8%. The remaining 24% of the patients had a colostomy and the incidence of abdominal sepsis was 29.2% (P < 0.05). Left-sided colonic injuries, multiple colonic perforations, shock on admission, delay > 6 h, more than two associated intra-abdominal injuries, high Injury Severity Score (ISS), and high Penetrating Abdominal Trauma Index (PATI), are not in themselves contraindications for primary repair.

Full text

PDF
381

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adkins R. B., Jr, Zirkle P. K., Waterhouse G. Penetrating colon trauma. J Trauma. 1984 Jun;24(6):491–499. doi: 10.1097/00005373-198406000-00006. [DOI] [PubMed] [Google Scholar]
  2. Baker L. W., Thomson S. R., Chadwick S. J. Colon wound management and prograde colonic lavage in large bowel trauma. Br J Surg. 1990 Aug;77(8):872–876. doi: 10.1002/bjs.1800770809. [DOI] [PubMed] [Google Scholar]
  3. Beall A. C., Jr, Bricker D. L., Alessi F. J., Whisennand H. H., DeBakey M. E. Surgical considerations in the management of civilian colon injuries. Ann Surg. 1971 Jun;173(6):971–978. doi: 10.1097/00000658-197106010-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Boyd C. R., Tolson M. A., Copes W. S. Evaluating trauma care: the TRISS method. Trauma Score and the Injury Severity Score. J Trauma. 1987 Apr;27(4):370–378. [PubMed] [Google Scholar]
  5. Burch J. M., Brock J. C., Gevirtzman L., Feliciano D. V., Mattox K. L., Jordan G. L., Jr, DeBakey M. E. The injured colon. Ann Surg. 1986 Jun;203(6):701–711. doi: 10.1097/00000658-198606000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Champion H. R., Sacco W. J., Copes W. S., Gann D. S., Gennarelli T. A., Flanagan M. E. A revision of the Trauma Score. J Trauma. 1989 May;29(5):623–629. doi: 10.1097/00005373-198905000-00017. [DOI] [PubMed] [Google Scholar]
  7. Demetriades D., Lakhoo M., Pezikis A., Charalambides D., Pantanowitz D., Sofianos C. Short-course antibiotic prophylaxis in penetrating abdominal injuries: ceftriaxone versus cefoxitin. Injury. 1991 Jan;22(1):20–24. doi: 10.1016/0020-1383(91)90154-7. [DOI] [PubMed] [Google Scholar]
  8. Demetriades D., Lawson H. H., Sofianos C., Oosthuizen M. M., Kurstjens S., Frolich J. Healing of the right and left colon. An experimental study. S Afr Med J. 1988 Jun 4;73(11):657–658. [PubMed] [Google Scholar]
  9. Demetriades D., Rabinowitz B., Sofianos C., Prümm E. The management of colon injuries by primary repair or colostomy. Br J Surg. 1985 Nov;72(11):881–883. doi: 10.1002/bjs.1800721110. [DOI] [PubMed] [Google Scholar]
  10. Falcone R. E., Carey L. C. Colorectal trauma. Surg Clin North Am. 1988 Dec;68(6):1307–1318. doi: 10.1016/s0039-6109(16)44688-8. [DOI] [PubMed] [Google Scholar]
  11. Garfinkle S. E., Cohen S. E., Matolo N. M., Getzen L. C., Wolfman E. F., Jr Civilian colonic injuries. Changing concepts of management. Arch Surg. 1974 Sep;109(3):402–404. doi: 10.1001/archsurg.1974.01360030054015. [DOI] [PubMed] [Google Scholar]
  12. Levison M. A., Thomas D. D., Wiencek R. G., Wilson R. F. Management of the injured colon: evolving practice at an urban trauma center. J Trauma. 1990 Mar;30(3):247–253. doi: 10.1097/00005373-199003000-00001. [DOI] [PubMed] [Google Scholar]
  13. Moore E. E., Dunn E. L., Moore J. B., Thompson J. S. Penetrating abdominal trauma index. J Trauma. 1981 Jun;21(6):439–445. [PubMed] [Google Scholar]
  14. Shannon F. L., Moore E. E. Primary repair of the colon: when is it a safe alternative? Surgery. 1985 Oct;98(4):851–860. [PubMed] [Google Scholar]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England

RESOURCES