Abstract
The management of colon injuries remains an area of major controversy. Selecting the patients who can undergo primary repair safely remains undefined. To address this issue, 231 consecutive patients with penetrating colon injuries were reviewed to determine those factors that affected outcome. Overall, there were 54 (25.2%) septic complications, with 36 (16.8%) wound infections and 18 (8.4%) intra-abdominal abscesses. There were seven (3.3%) deaths in the entire series. The surgical management method of the colon injury was not significant in wound infections (P > .39), intra-abdominal abscesses (P > .24), or mortality (P > .39). A more aggressive approach of primary repair should be performed for civilian colon injuries.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- 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]
- 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]
- Elkin C. D., Ward W. C. GUNSHOT WOUNDS OF THE ABDOMEN: A SURVEY OF 238 CASES. Ann Surg. 1943 Nov;118(5):780–787. doi: 10.1097/00000658-194311850-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- George S. M., Jr, Fabian T. C., Voeller G. R., Kudsk K. A., Mangiante E. C., Britt L. G. Primary repair of colon wounds. A prospective trial in nonselected patients. Ann Surg. 1989 Jun;209(6):728–734. doi: 10.1097/00000658-198906000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Huber P. J., Jr, Thal E. R. Management of colon injuries. Surg Clin North Am. 1990 Jun;70(3):561–573. doi: 10.1016/s0039-6109(16)45130-3. [DOI] [PubMed] [Google Scholar]
- Nelken N., Lewis F. The influence of injury severity on complication rates after primary closure or colostomy for penetrating colon trauma. Ann Surg. 1989 Apr;209(4):439–447. doi: 10.1097/00000658-198904000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- Stone H. H., Fabian T. C. Management of perforating colon trauma: randomization between primary closure and exteriorization. Ann Surg. 1979 Oct;190(4):430–436. doi: 10.1097/00000658-197910000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]