Complications of primary repair of colon injury: literature review of 2,964 cases

Curran, Thomas; Borzotta, Anthony P.

doi:10.1016/s0002-9610(98)00293-1

Cited by 105 publications

(71 citation statements)

References 46 publications

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“…In patients who have peritonitis secondary to perforated diverticulitis, the decision to perform a primary anastomosis should be based on an individual basis, according to the patient's stability and the surgeon's judgment [100][101][102][103]. More recently, primary colonic anastomosis has been advocated in the setting of acute trauma of the colon [104][105][106][107][108][109][110][111]. In trauma, the risk of intra-abdominal infection is independent of the surgical procedure, as shown by Demetríades and colleagues [112], who recommend primary anastomosis in most cases.…”

Section: Intraoperative Management and Surgical Approach To Bowel Anamentioning

confidence: 99%

Management of Peritonitis in the Critically Ill Patient

Ordóñez

Puyana

2006

Surgical Clinics of North America

111

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Section: Intraoperative Management and Surgical Approach To Bowel Anamentioning

confidence: 99%

Management of Peritonitis in the Critically Ill Patient

Ordóñez

Puyana

2006

Surgical Clinics of North America

111

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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 4,5 . 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] .…”

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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“…There is clear evidence supporting primary repair in civilian colorectal injuries [3]. However in this case it was decided in favour of a sigmoid loop colostomy for diversion in view of the contused laceration of the rectal wall caused by the blunt rod and the faecal contamination of the peritoneal cavity.…”

Section: Discussionmentioning

confidence: 93%

A Rare Case of Penetrating Rectal Injury

Thomas

2010

Indian J Surg

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Penetrating injuries of the colon and rectum have been reported earlier and are often associated with injuries of adjacent viscera such as bladder, uterus or vagina, prostate and seminal vesicles as well as iliac vessels. But this case is rare not only regarding the mechanism of injury but also with respect to the depth of penetration, with the foreign body having almost reached the thorax after entry through the anal orifice.Keywords Penetrating . Rectal . Injury Case ReportA 13 year old boy presented to the Emergency department with a history of falling onto a smooth blunt tipped rod while playing with his friends in a river during his holidays. He dived into the river and came down inadvertently on a wooden rod which was being held vertically by one of his friends .The force of his landing on the rod caused the rod to penetrate through the anus and drive it into his body till it finally appeared subcutaneously in the left lower chest wall posteriorly. The boy was wheeled into Emergency in a knee elbow position as the rod protruding out from his anus posteriorly and towards the right for a distance of about 75 cm prevented him from lying flat or to any one side.On admission, he was found to be haemodynamically stable and was started on intravenous fluids after intravenous access using an 18 G cannula. Blood was drawn for all pre-operative investigations including grouping and cross matching.. A portion of the rod outside the body was cut in one stroke and removed using an electric tile cutter, causing very little motion to the part remaining in situ. With this done, the boy could be positioned in the right lateral position on the trolley (Fig. 1). An emergency CT scan was done using 64slice CT scanner. It showed the track taken by the rod penetrating through the rectum and having reached the left lower chest wall (Figs. 2 and 3)).He was then taken up for an emergency laparotomy. The anaesthesiologists intubated him while in the right lateral position, since he could not be positioned supine (Fig. 1). After anaesthetizing the patient he was then positioned supine. A midline incision was made and the abdomen entered. The rod was found to have entered the abdomen by piercing through the rectum anteriorly and then passing between the external iliac artery and vein just below the bifurcation of the left common iliac artery. After this it was

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Complications of primary repair of colon injury: literature review of 2,964 cases

Cited by 105 publications

References 46 publications

Management of Peritonitis in the Critically Ill Patient

Management of Peritonitis in the Critically Ill Patient

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

A Rare Case of Penetrating Rectal Injury

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