Management of colon injury in abdominal trauma.
- Author:
Wei-ming ZHU
1
;
Jie-shou LI
Author Information
1. Department of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China. juwiming@yahoo.com. en
- Publication Type:Journal Article
- MeSH:
Abdominal Injuries;
complications;
Anastomotic Leak;
Colon;
injuries;
Colonic Diseases;
complications;
surgery;
Colostomy;
Humans;
Wound Healing
- From:
Chinese Journal of Gastrointestinal Surgery
2012;15(12):1214-1217
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of colon injury is low but is associated with adverse outcome if managed inadequately.Colostomy and secondary closure has been the traditional management, which is associated with more pain to the patient and a waste of medical resource. Recent studies indicate that physiologic disturbances after trauma is the main risk factor of anastomotic leak , therefore primary repair or resection and anastomosis is feasible if physiological status of the patient is stable as calibrated by New Injury Severity Score and ASA score. For patients with open abdomen or temporary closure,colonic resection can also be performed at definitive abdominal closure in select cases.
