Penetrating Colon Trauma

Rb, Adkins; Pk, Zirkle; Waterhouse, G

doi:10.1097/00005373-198406000-00006

Cited by 30 publications

(2 citation statements)

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“…Analysis of 20 retrospective studies [33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52] of PR for colon injuries versus colostomy (2516 patients) demonstrates an overall complication rate of 14% for PR and 31% for colostomy (Table 2). Intraabdominal abscesses occurred in 5% of those who underwent PR and 12% of those with a colostomy.…”

Section: Nondestructive Colon Woundsmentioning

confidence: 99%

“…A number of risk factors have been associated with increased morbidity and mortality after colon injury: hypotension or shock, interval of injury to operation, amount of fecal contamination, associated organ injury, number of transfusions, co‐morbid disease. Although some of these factors may help stratify the overall risk, none has been found to increase the risk of suture line failure when PR is used for nondestructive colon injuries [29, 30, 31, 32, 33, 34, 35, 36, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 55, 76]. Regarding destructive injuries, the risk factors for suture line failure remain controversial, with conflicting reports.…”

Section: Associated Risk Factorsmentioning

confidence: 99%

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Current Management of Colon Trauma

Maxwell

Fabian

2003

World j. surg.

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This article offers a comprehensive review of colon trauma from World War I to the present. The process of evidence-based medicine was used to analyze the data from the past 25 years and define standards of care in the field. Where data are less compelling, recommendations and suggestions are provided for future research. Topics highlighted include destructive and nondestructive colon injuries, rectal injuries, on-table colonic lavage, colonic bypass tubes, risk factors, perioperative antibiotics, and colostomy closure.

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Section: Nondestructive Colon Woundsmentioning

confidence: 99%

Section: Associated Risk Factorsmentioning

confidence: 99%

Current Management of Colon Trauma

Maxwell

Fabian

2003

World j. surg.

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Emergency Right Colon Resection

Miller¹

1987

Arch Surg

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Evolution of the Treatment of the Injured Colon in the 1980s

Burch

Martin²,

Richardson³

et al. 1991

Arch Surg

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During the past 10 years, 1006 patients with colon injuries were treated in an urban trauma center. Primary repair, including suture repair and resection with anastomosis, was performed in 614 patients (61%), colostomy in 284 patients (28%), and exteriorized repairs in 83 patients (8.3%). In the remaining 25 patients (2.5%) who were exsanguinating, the colon injuries were ligated. Independent risk factors for adverse outcomes (defined as a fecal fistula, abdominal abscess, stomal complication, or death from multisystem failure) were identified using multiple logistic regression analysis. These factors were used to match patients at similar risk within different treatment groups, and odds ratios for each treatment were calculated. The odds ratios for primary repair, colostomy, and exteriorized repair were 1.0, 1.9, and 2.0, respectively. Therefore, the chance of an adverse outcome was twice as great for both exteriorized repair or colostomy as for primary repair. It is concluded that further increases in the use of primary repair are warranted.

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Penetrating Colon Trauma

Cited by 30 publications

References 0 publications

Current Management of Colon Trauma

Current Management of Colon Trauma

Emergency Right Colon Resection

Evolution of the Treatment of the Injured Colon in the 1980s

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