Surgical Considerations in the Management of Civilian Colon Injuries

Beall, Arthur C.; Bricker, Donald L.; Alessi, F.; Whisennand, Hartwell H.; DeBakey, Michael E.

doi:10.1097/00000658-197106010-00015

Cited by 47 publications

(10 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another study by Davis et al showed wound infection as a complication in 15% of the cases. This was consistent with studies conducted by Beall et al 11 In our study, out of 97 cases, there are no deaths. But in study by Jolly et al which showed 10% mortality in their study with septicaemia shock the most common cause of death.…”

Section: Complicationssupporting

confidence: 94%

A Clinical Study on Blunt Injury Abdomen

Babu¹,

Babu²,

Rani³

et al. 2016

jebmh

View full text Add to dashboard Cite

BACKGROUND Abdominal trauma continues to account for a large number of trauma-related injuries and deaths. Motor vehicle accidents and urban violence, respectively, are the leading causes of blunt and penetrating trauma to this area of the body. Unnecessary deaths and complications can be minimized by improved resuscitation, evaluation and treatment. The new techniques and diagnostic tools available are important in the management of abdominal trauma. These improved methods, however, still depend on experience and clinical judgment for application and determination of the best care for the injured patient. The aim of the study is to 1. Analyse the incidence, clinical characteristics, diagnosis, indications for laparotomy, therapeutic methods and morbidity & mortality rates. 2. To study nature of blunt abdominal trauma. 3. To assess patient for surgical intervention and to avoid negative laparotomy. 4. To assess morbidity rate in different organs injury. 5. To evaluate modalities of treatment, complications and prognosis. MATERIALS AND METHODS This study is a prospective study on 97 patients with Blunt injuries to the abdomen admitted in S.

show abstract

Section: Complicationssupporting

confidence: 94%

A Clinical Study on Blunt Injury Abdomen

Babu¹,

Babu²,

Rani³

et al. 2016

jebmh

View full text Add to dashboard Cite

show abstract

“…The approach to colonic lacerations can be modified so as to * Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria. 7,18) and clinically (lo), the exteriorized anastomosis heals just as reliably as one within the peritoneal cavity. Small, low velocity missile wounds of the colon may produce minimal tissue damage and may be sutured primarily (19).…”

Section: Discussionmentioning

confidence: 99%

Selective primary suture of the battle-injured colon: An experience of the Nigerian Civil War

Nwafo

1980

Journal of British Surgery

View full text Add to dashboard Cite

During the 1967-9 phase of the Nigerian Civil War, 38 primary sutures of battle-injured colons were carried out, with 3 deaths, all in patients with severe concomitant injuries to the liver, diaphragm and right iliac crest. In carefully selected cases--one-third of the total--primary suture was a safe and reliable technique for dealing with battle-lacerated colons. Although there was a substantial morbidity (71 per cent) from wound sepsis, there was also a considerable reduction in the period spent in hospital.

show abstract

“…Kod minsko-eksplozivnih, i artiljeri- Mortalitet od strijelnih povreda kolona varira od 3-16% (Abcarian i Lowe,1978;Flint 1981). Steele i Blaisdell (1977) navode da je mortalitet ovih povreda {ezdesetih godina iznosio 15%, a kasnije je pao na 6,5%, u periodu 1971. Po Kirkpatricku (1975, mortalitet zavisi od broja povrijedjenih organa: povrijedjeni sa dva organa pre'ivljavaju, dok povreda preko 5 organa nosi apsolutan mortalitet.…”

Section: Mehanizam Povredjivanja Kolonaunclassified

The role of enterostomy in the management of colonic injuries

Lazovic

Krivokapić

2005

ACTA CHIR IUG

View full text Add to dashboard Cite

The circumstances, evaluation and results of the management of 67 colonic and rectal injuries during the period 1992-2003 in Clinical Centre of Podgorica are presented. In 32 war and 37 civilian injuries to colon, several systems of the severity trauma determination, as well as systems of grading and classification of injuries of colon were evaluated, and the surgical access according to achieved results was investigated in order to determine the use of enetrostomy in the management of these inuries. From the presented and statistically evaluated results, it can be concluded that Flintzs 3 grade classification can be used as the most reliable indicative and prognostic system. For the succes of One stage surgical procedure, the most critical fact is differentiation between Flintzs Grade I and II (Chi Square 4.514; P) as well between Grade II and III. That means that by using One stage procedure, unfavourable results may be expected not only in Grade II, but as well in border cases between II and III. Also, according to the presented results, there were not differences observed in the success of management between Grade II and III (Chi Square 0.678; P0.05). That means that using Two stage procedure, unfavourable results can be prevented not only in the borderline cases between Grades II and III, but also in the Grade III. Two stage surgical approach in the repair of injuried colon remains valuable and usefull surgical procedure, even in spite of success of surgical technology and operative technique, in cases with severe and multiple abdminal injuries, and in borderline decision making. These procedures are also inevitable in the management of any complication of primary repair of the colonic wound. Using rational evaluation and good surgical techniqe, primary repair of can be used in almost 50% of civilian and war injuries injuries of colon.

show abstract

Surgical Considerations in the Management of Civilian Colon Injuries

Cited by 47 publications

References 8 publications

A Clinical Study on Blunt Injury Abdomen

A Clinical Study on Blunt Injury Abdomen

Selective primary suture of the battle-injured colon: An experience of the Nigerian Civil War

The role of enterostomy in the management of colonic injuries

Contact Info

Product

Resources

About