Primary repair of colon injuries in a developing country

Naraynsingh, Vijay; Ariyanayagam, D C; Pooran, Suresh

doi:10.1002/bjs.1800780317

Cited by 14 publications

(4 citation statements)

References 8 publications

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“…In primary repair of wound, researchers used several options of primary repair with or without colostomy to check the effectiveness of repair without diversion [6][7][8][9][10][11][12][13][14] . Similar types of intervention had been adopted in developing countries too [15][16] . Researchers from Bangladesh are also assessing the outcome of primary repair of abdominal injuries in their clinical settings.…”

Section: Introductionmentioning

confidence: 99%

Primary Repair of Traumatic Gut Injury Without Diversion in Casualty Department of Dhaka Medical College Hospital

Matubber

Billah²,

Huq

et al. 2014

Faridpur Med Coll J

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:Colon is one of the most commonly injured viscera followed by small gut and liver in abdomen for which management becomes complicated had the type and severity of injury not been assessed properly. With improved facilities in patient care and proper use of antibiotics the inclination is directed towards primary repair of colon without diversion. This study was aimed to assess the efficacy of primary repair in a tertiary hospital. A number of 50 patients of traumatic gut injury from 15-50 years (31.18 ± 9.38 years) mainly presenting with RTA with blunt trauma abdomen (54.0%) and different types of stab injury (40.0%) were managed with primary repair in the department of casualty in Dhaka Medical College Hospital, Dhaka between the period of January to June 2009. On admission more than half (52.0%) had hypotension, 70.0% distended abdomen, 84.0% tender abdomen, 58.0% presented with abdominal rigidity while 80% of them had perforation of the small and 20% had the same in large gut. After primary repair, only 6% developed chest infection and 4% developed wound infection. The findings suggest that primary repair without diversion in the treatment of traumatic gut injury can be performed among patients admitted in our hospitals.

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Section: Introductionmentioning

confidence: 99%

Primary Repair of Traumatic Gut Injury Without Diversion in Casualty Department of Dhaka Medical College Hospital

Matubber

Billah²,

Huq

et al. 2014

Faridpur Med Coll J

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“…On other hand, its higher than (16.25%)and(18.0%) reported by Adil KH et al (22) and G Jinescuetal (24) .In current study Wound infection was the commonest cause of post-operative complications (9.5%),followed by wound dehiscence (4.8%),while (3.6%) for both intestinal obstruction ,and pulmonary atelectasis as well as (2.4%) for both intra-abdominal abscess and pulmonary emboli .Adil K H et al (22) , found that wound infection was the main cause of post-operative complications detected in (7.5%)of cases followed by paralytic ileus and respiratory complications in (5%) of cases. Other studies conducted by Naraynsingh V et al (25), and Tahir I et al (11) , reported Higher percentage of wound infection which were (10%), and (58%) respectively. The rate of wound infection in the current study was within acceptable level.…”

Section: Discussionmentioning

confidence: 82%

Direct Primary Repair of Colonic Injury inAL-Ramadi Teaching Hospital, Western Iraq

Salih¹

2020

ATMPH

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Background: Al Ramadi district, western Iraq was one of the places subjected to military operations that exposed its residents to risk of explosions and indiscriminate fire that increased the risk of penetrating colonic injuries. Objectives: To assess the pattern andmechanism of colonic injuries, other associated organ injuries, age and sex distribution, outcome and efficacy of direct primary repair. Patients and Methods: From all patients with abdominal trauma andcolonic injuries attended Al Ramadi Teaching Hospital during the period from January2014 to September 2014; those who underwent direct primary repair were enrolled in this study. Collected data include age, sex, mechanism and site of colonic injuries,other associated organs injuries, post-operative complications and mortality rate. Descriptive statistics were used to summarize the extracted information. Results: Eighty four patients were included in this study ,their age ranged(1-65) years ,mean age (30±5) years,58(69.0%)males and26(31.9%) females, out of 65 (77.4%) patients below40 years,50 (59.5%)their age ranged (21-40) years and15(18.9%)in the range of , (1-20)years,74(88.0%)patientshadpenetrating colonic injuries,46(59.7%)had shell trauma,28(33.3%)had bullet injuries ,3 (3.6%) blunt trauma. Transverse colon wasthe most common site injured 39 (46.4%), small intestine involved in 31(37%) patients and liver 27(32.1%). post-operative complication noticed in 17 (20.2%), wound infection recorded in 8(9.5%) cases; wound dehiscence 4 (4.8%). The overall mortality recorded 2(2.4%), none of these were related to colon injury. CONCLUSION: Primary repair for colonic injuries is the method of preference for management of colonic injuries as its safe, effective and associated with good results and low mortality rate.

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“…Perforations with a localized paracolic abscess were excluded from analysis. Our unit has adopted a policy minimizing colostomy use as we have previously reported in a paper on colonic trauma and obstruction [13,14], since in Trinidad, there is limited public stoma acceptance and limited availability of stoma appliances. Patients were identified using the International Classification of Disease 9th Revision Clinical Modification (ICD-9 CM) admissions and discharge code 562.11.…”

Section: Methodsmentioning

confidence: 97%

Perforated left-sided diverticulitis with faecal peritonitis: is the Hinchey classification the best guide for surgical decision making?

et al. 2011

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The status of the underlying bowel, not the degree of peritoneal soiling, is the most significant consideration in defining the role of minimally invasive surgical treatment options for perforated diverticulitis. A new classification system that remains to be validated, taking into account the degree of colonic scarring and stricture formation, is proposed as a guide for surgical decision making in patients with perforated left-sided diverticulitis with faecal peritonitis.

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Primary repair of colon injuries in a developing country

Cited by 14 publications

References 8 publications

Primary Repair of Traumatic Gut Injury Without Diversion in Casualty Department of Dhaka Medical College Hospital

Primary Repair of Traumatic Gut Injury Without Diversion in Casualty Department of Dhaka Medical College Hospital

Direct Primary Repair of Colonic Injury inAL-Ramadi Teaching Hospital, Western Iraq

Perforated left-sided diverticulitis with faecal peritonitis: is the Hinchey classification the best guide for surgical decision making?

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