Colon trauma: primary repair evolving as the standard of care

This study reviewed the management of colon injuries treated at the trauma surgical service, University of Nevada Medical Center between 1987 and 1992. Sixty-six patients sustained either blunt or penetrating colon injuries during the study period. The patients were divided into two groups: patients...

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Bibliographic Details
Published inJournal of the National Medical Association Vol. 88; no. 9; pp. 574 - 578
Main Authors Muffoletto, J P, Tate, J S
Format Journal Article
LanguageEnglish
Published United States National Medical Association 01.09.1996
Subjects
Adolescent
Adult
Aged
Chi-Square Distribution
Child
Colon - injuries
Colon - surgery
Colostomy
Female
Follow-Up Studies
Humans
Injury Severity Score
Male
Middle Aged
Postoperative Complications - physiopathology
Prognosis
Survival Rate
Wounds and Injuries - etiology
Wounds and Injuries - surgery
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Summary:This study reviewed the management of colon injuries treated at the trauma surgical service, University of Nevada Medical Center between 1987 and 1992. Sixty-six patients sustained either blunt or penetrating colon injuries during the study period. The patients were divided into two groups: patients who underwent diverting colostomies and patients who underwent primary repair. Both groups were equally matched in terms of colon injury severity as well as trauma scores. The results indicated that primary colon repair was as safe if not safer than colostomy with less complications and at lower costs. The authors conclude that primary repair should be reevaluated in a critical manner as an evolving standard of care.
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ISSN:0027-9684