Colon and rectal injuries: Contemporary management

Autor:	Kokkinakis T, L. Rokadakis, Spiridakis K, Papadakis T, Nikolaos Kontopodis, Panagiotis Taflampas
Rok vydání:	2011
Předmět:	medicine.medical_specialty Primary repair Left colon business.industry Shock (circulatory) Primary anastomosis medicine.medical_treatment medicine Colostomy medicine.symptom business Overall status Surgery
Zdroj:	Hellenic Journal of Surgery. 83:267-273
ISSN:	1868-8845 0018-0092
Popis:	Colon and rectal injuries pose major challenges for the operating surgeon. Modern management takes into account the time elapsed from injury, the site and extent of the injury and the overall status of the patient. Colostomy in every case has evolved to become a more selective approach. Primary anastomosis is now considered feasible in most cases. The long-standing different approach to right and left colon injuries is debated. Intraperitoneal rectal injuries can be managed similar to left colon injuries by primary repair, whereas the mainstay of management of extraperitoneal injuries remains proximal colostomy. The extent of injury, associated abdominal injuries, presence of shock, number of blood transfusions and the time from injury to operation determine the decision-making process and the prognosis for these patients.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::94600b9512092b49788f5eb65cf5cc27 https://doi.org/10.1007/s13126-011-0051-0 Zobrazit plný text záznamu Full text from SpringerLink