8 YEARS EXPERIENCE WITH CIVILIAN INJURIES OF COLON

  • 1 January 1977
    • journal article
    • research article
    • Vol. 145  (2) , 203-205
Abstract
A chart review of 130 patients with colonic injuries treated between the years 1968-1976 was reviewed. Types of operative procedure, complication rate, mortality and hospital stay were tabulated. The patients treated by primary closure and exteriorized primary repair had a 2% mortality; various staged procedures used in the remaining patients resulted in a 6% mortality. Complications were common in all types of repair and correlated with the severity of the injury. Primary closure of the injured colon can safely be accomplished in carefully selected patients. Staged procedures necessitated a secondary operation which was relatively benign, and staged operations were used in the majority of the patients with colonic injuries. This management protocol resulted in a 4-6% over-all mortality.

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