 |
|
Traditional Treatment of Colon InjuriesAn Effective Method
Allan Cook, MD;
Barry A. Levine, MD;
Thomas Rusing, MD;
Kenneth R. Sirinek, MD, PhD;
Harold V. Gaskill, III, MD
Arch Surg. 1984;119(5):591-594.
Abstract
| |
• Several recent reports have described management of penetrating colon wounds with primary closure, exteriorization, and early return to the abdominal cavity. Since this procedure was not the technique practiced at our institution, we reviewed our five-year experience with 207 patients with such wounds to determine whether a change in methods was warranted. The patients, predominantly young and male, were often victims of gunshots or stabbings. Associated injuries (intra-abdominal, 64%; extra-abdominal, 35%) were frequent. Overall mortality was 4% and included three patients who died within 24 hours of admission. Morbidity was 43%, including 17% related to colon injury. All documented colostomy closures were without mortality. We concluded that management of penetrating colon injuries by traditional methods yields low morbidity and mortality. A comparison of our results with those obtained using alternative techniques convinced us that the continued use of traditional methods in treating colon trauma is warranted.
(Arch Surg 1984;119:591-594)
Author Affiliations
From the Department of Surgery, University of Texas Health Science Center and the Audie L. Murphy Veterans Hospital, San Antonio.
Footnotes
Accepted for publication Dec 27, 1983.
Read before the 91st annual meeting of the Western Surgical Association, Monterey, Calif, Nov 15, 1983.
Reprint requests to Department of Surgery, University of Texas Health Science Center, 7703 Floyd Curl Dr, San Antonio, TX 78284 (Dr Gaskill).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Evolution of the Treatment of the Injured Colon in the 1980s
Burch et al.
Arch Surg 1991;126:979-984.
ABSTRACT
|
