Primary repair vs. colostomy for the treatment of penetrating colon injuries

1989 ◽  
Vol 32 (12) ◽  
pp. 1046-1049 ◽  
Author(s):  
Cal A. Ridgeway ◽  
Scott B. Frame ◽  
Janet C. Rice ◽  
Gregory A. Timberlake ◽  
Norman E. Mc Swain ◽  
...  
Keyword(s):  
Primary Repair ◽  
Colon Injuries

The management of colon injuries by primary repair or colostomy

1985 ◽  
Vol 72 (11) ◽  
pp. 881-883 ◽  
Author(s):  
D. Demetriades ◽  
B. Rabinowitz ◽  
C. Sofianos ◽  
E. Prümm
Keyword(s):  
Primary Repair ◽  
Colon Injuries

Primary Repair of Penetrating Colon Injuries

2002 ◽  
Vol 45 (12) ◽  
pp. 1579-1587 ◽  
Author(s):  
Marc A. Singer ◽  
Richard L. Nelson
Keyword(s):  
Primary Repair ◽  
Colon Injuries

Outcomes of Primary Repair and Primary Anastomosis in War-Related Colon Injuries

2009 ◽  
Vol 66 (5) ◽  
pp. 1286-1293 ◽  
Author(s):  
Amy Vertrees ◽  
Matthew Wakefield ◽  
Chris Pickett ◽  
Lauren Greer ◽  
Abralena Wilson ◽  
...  
Keyword(s):  
Primary Repair ◽  
Primary Anastomosis ◽  
Colon Injuries

scholarly journals Management of the injured bowel: preserving bowel continuity as a gold standard

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Camille Tantardini ◽  
Gaëlle Godiris-Petit ◽  
Séverine Noullet ◽  
Mathieu Raux ◽  
Fabrice Menegaux ◽  
...  
Keyword(s):  
Small Bowel ◽  
Postoperative Morbidity ◽  
Primary Repair ◽  
High Volume ◽  
Traumatic Injuries ◽  
Abdominal Complications ◽  
Stoma Creation ◽  
Bowel Continuity ◽  
Fistula Rate ◽  
Colon Injuries

Abstract Background Management of bowel traumatic injuries is a challenge. Although anastomotic or suture leak remains a feared complication, preserving bowel continuity is increasingly the preferred strategy. The aim of this study was to evaluate the outcomes of such a strategy. Methods All included patients underwent surgery for bowel traumatic injuries at a high volume trauma center between 2007 and 2017. Postoperative course was analyzed for abdominal complications, morbidity and mortality. Results Among 133 patients, 78% had small bowel injuries and 47% had colon injuries. 87% of small bowel injuries and 81% of colon injuries were treated with primary repair or anastomosis, with no difference in treatment according to injury site (p = 0.381). Mortality was 8%. Severe overall morbidity was 32%, and abdominal complications occurred in 32% of patients. Risk factors for severe overall morbidity were stoma creation (p = 0.036), heavy vascular expansion (p = 0.005) and a long delay before surgery (p = 0.023). Fistula rate was 2.2%; all leaks occurred after repairing small bowel wounds. Conclusion Primary repair of bowel injuries should be the preferred option in trauma patient, regardless of the site—small bowel or colon—of the injury. Stoma creation is an important factor for postoperative morbidity, which should be weighed against the risk of an intestinal suture or anastomosis.

The high morbidity of colostomy closure after trauma: Further support for the primary repair of colon injuries

Surgery ◽  
1998 ◽  
Vol 123 (2) ◽  
pp. 157-164 ◽  
Author(s):  
John D. Berne ◽  
George C. Velmahos ◽  
Linda S. Chan ◽  
Juan A. Asensio ◽  
Demetrios Demetriades
Keyword(s):  
Primary Repair ◽  
Colostomy Closure ◽  
High Morbidity ◽  
Colon Injuries

scholarly journals Morbidity predicting factors of penetrating colon injuries

2010 ◽  
Vol 57 (3) ◽  
pp. 55-58 ◽  
Author(s):  
A. Mickevicius ◽  
G. Valeikaite ◽  
A. Tamelis ◽  
Z. Saladzinskas ◽  
S. Svagzdys ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Postoperative Complications ◽  
Systolic Blood Pressure ◽  
Peritoneal Cavity ◽  
Primary Repair ◽  
Group Analysis ◽  
Fecal Contamination ◽  
Significant Risk ◽  
Fecal Diversion ◽  
Colon Injuries

THE AIM of this study was to analyze patients suffering from penetrating colon injuries management, clinical outcomes and factors, which predict higher morbidity and complications rate. METHODS: this was a retrospective analysis of prospectively collected data from patients with injured colon from 1995 to 2008. Age, time till operation, systolic blood pressure, part of injured colon, fecal contamination, PATI were registered. Monovariate and multivariate logistic regression was performed to determine higher morbidity predictive factors. RESULTS: 61 patients had penetrating colon injuries. Major fecal contamination of the peritoneal cavity and systolic blood pressure lower than 90 mmHg are independent factors determining the fecal diversion operation. Primary repair group analysis establish that major fecal contamination and systolic blood pressure lower than 90 mmHg OR=4,2 and 0,96 were significant risk factors, which have contributed to the development of postoperative complications. And systolic blood pressure lower than 90 mmHg and PATI 20 predict OR=0,05 and 2,61 higher morbidity. CONCLUSIONS: Fecal contamination of the peritoneal cavity and hypotension were determined to be crucial in choice of performing fecal diversion or primary repair. But the same criteria and PATI predict higher rate of postoperative complications and higher morbidity.

A convincing case for primary repair of penetrating colon injuries

1993 ◽  
Vol 166 (1) ◽  
pp. 39-44 ◽  
Author(s):  
Paul A. Taheri ◽  
John J. Ferrara ◽  
Charles E. Johnson ◽  
Keith A. Lamberson ◽  
Lewis M. Flint
Keyword(s):  
Primary Repair ◽  
Convincing Case ◽  
Colon Injuries

scholarly journals Primary repair of colon injuries: clinical study of nonselective approach

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Ranko G Lazovic ◽  
Goran I Barisic ◽  
Zoran V Krivokapic
Keyword(s):  
Clinical Study ◽  
Primary Repair ◽  
Colon Injuries

Primary repair of colon injuries in a developing country

1991 ◽  
Vol 78 (3) ◽  
pp. 319-320 ◽  
Author(s):  
V. Naraynsingh ◽  
D. Ariyanayagam ◽  
S. Pooran
Keyword(s):  
Developing Country ◽  
Primary Repair ◽  
Colon Injuries
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