Treatment of injuries to the colon

Wolma, Fred J.; Williford, Frank

doi:10.1016/0002-9610(65)90122-4

Cited by 12 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present series, the percentage of primary colonic repair procedures was higher in the right than the left colons, and was also high in the sigmoid colon area. Despite known anatomical and physiological differences, penetrating trauma to both the right and left colons can be managed similarly5, 13, 19, 20. Resection with end‐to‐end anastomosis was indicated in patients with massive colon injuries.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The role of primary repair for colonic injuries in wartime

Hudolin

Hudolin²

2005

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…The patients in this series were young, healthy and physically active. Age has been shown to be an important factor influencing the mortality rate10, 20. The incidence of anastomotic leak was 6·5 per cent after primary repair and 1·4 per cent after colostomy.…”

Section: Discussionmentioning

confidence: 99%

The role of primary repair for colonic injuries in wartime

Hudolin

Hudolin²

2005

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…The pioneering work from New Orleans describing selective management of colon injury stimulated increased use of this approach at other institutions. Tucker and Fey [18], Roof et al [19], Vannix et al [20], Wolma and Williford [21], Beall et al [22] and Bartizal et al [23] subsequently reported retrospective studies demonstrating favorable outcomes after selective management of colon injuries. The consensus of these reviews advocated primary repair of the colonand ushered in a new wave of prospective randomized studies that form the basis for modern management.…”

Section: Historical Backgroundmentioning

confidence: 99%

Current Management of Colon Trauma

Maxwell

Fabian

2003

World j. surg.

View full text Add to dashboard Cite

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.

show abstract

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

Burch

Martin²,

Richardson³

et al. 1991

Arch Surg

View full text Add to dashboard Cite

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.

show abstract

Treatment of injuries to the colon

Cited by 12 publications

References 13 publications

The role of primary repair for colonic injuries in wartime

The role of primary repair for colonic injuries in wartime

Current Management of Colon Trauma

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

Contact Info

Product

Resources

About