Historical and Current Trends in Colon Trauma

Abstract

The authors discuss the evolution of the evaluation and management of colonic trauma, as well as the debate regarding primary repair versus fecal diversion. Their evidence-based review covers diagnosis, management, surgical approaches, and perioperative care of patients with colon-related trauma. The management of traumatic colon injuries has evolved significantly over the past 50 years; here the authors describe a practical approach to the treatment and management of traumatic injuries to the colon based on the most current research. However, management of traumatic colon injuries remains a challenge and continues to be associated with significant morbidity. Familiarity with the different methods to the approach and management of colonic injuries will allow surgeons to minimize unnecessary complications and mortality.

The influence of the risk factor on the abdominal complications in colon injury management

“…In our study we have used this procedure in only 3.83% of cases. Familiarity with the different methods to the approach manage colonic injuries will allow surgeons to minimize unnecessary complications and mortality (20). Haut ER et al (21) observed that a similar management approach of colon injuries was appropriate for the pediatric population.…”

Indications for and outcome of primary repair compared with faecal diversion in the management of traumatic colon injury

“…It was identified by Causey et al . and Demetriades et al . to be a risk factor for postoperative septic complications and anastomotic leakage.…”

“…Faecal contamination is considered a relative contraindication to primary repair. It was identified by Causey et al [23] and Demetriades et al [18] to be a risk factor for postoperative septic complications and anastomotic leakage. Similarly, the present study observed a highly significant relationship between faecal…”

“…Significance was determined with a P-value < 0.05. Statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS) v. 23 under Microsoft Windows (Bristol, UK).…”

Historical Perspectives on Colorectal Trauma Management

“…A subsequent evaluation of his data, however, noted that the mortality rates were similar between the primary repair and diversion groups (53 vs. 59%). 9 Ogilvie spoke and wrote often on this topic and many other lessons learned from his combat surgery experience throughout his career.…”