Penetrating Injuries to the Colon
Autor: | Kerstein, Frame Sb, Janet C. Rice, McSwain Ne, Ridgeway Ca |
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Rok vydání: | 1989 |
Předmět: |
Adult
Male medicine.medical_specialty Colon medicine.medical_treatment Wounds Penetrating Anatomic Site Abdominal cavity Anatomic region Severity of Illness Index Descending colon Colostomy Intestine Small medicine Humans Surgical Wound Infection Ascending colon Retrospective Studies business.industry Anastomosis Surgical Transverse colon General Medicine Length of Stay digestive system diseases Surgery medicine.anatomical_structure Debridement Evaluation Studies as Topic Female business Hospital stay |
Zdroj: | Southern Medical Journal. 82:1099-1102 |
ISSN: | 0038-4348 |
Popis: | The preferred method for the treatment of penetrating injuries to the colon remains a source of controversy. In our retrospective review of 65 patients with penetrating colon injuries, 33 patients were managed by colostomy formation, 30 were treated by primary repair, and two had exteriorized repair with early return to the abdominal cavity (drop back). The anatomic location of injury was ascending colon in 19 (29%), transverse colon in 20 (31%), descending colon in 22 (34%), and multiple sites in four (6%). The average penetrating abdominal trauma index (PATI) was 24 (ascending colon injuries, 23; transverse colon, 26; descending colon, 24; and multiple colon sites, 28). Overall septic morbidity was 15/65 (23%). Colostomy closure was later done in 32/33 (97%), with a morbidity of 7/32 (22%). The mean length of hospital stay for primary repair was ten days and for colostomy (including both required hospital stays), 26 days (P less than .05). These data suggest that primary repair is as safe as colostomy formation for the management of penetrating colon injuries, regardless of anatomic site of injury. |
Databáze: | OpenAIRE |
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