MANAGEMENT OF COLONIC AND RECTAL INJURIES
- 1 January 1979
- journal article
- research article
- Vol. 120 (11) , 1387-+
Abstract
In managing a colonic or rectal injury the surgeon must decide whether it is acceptable to have feces passing over a suture line or anastomosis. If it is, resection and anastomosis or simple oversewing of the bowel can be done. If it is not, there are 4 choices: closure of the wound, drainage and proximal diversion; primary closure or resection and anastomosis of the wound with exteriorization; formation of a double-barrelled colostomy; and resection of the injured colon with formation of an end-colostomy and a mucosal fistula or a Hartmann procedure. The surgeon''s choice should be dictated by the severity of the injury, the degree of fecal contamination and the general condition of the patient.This publication has 8 references indexed in Scilit:
- PRIMARY REPAIR OF COLONIC INJURIESPublished by Wolters Kluwer Health ,1977
- 8 YEARS EXPERIENCE WITH CIVILIAN INJURIES OF COLON1977
- EARLY EXPLORATIVE LAPAROTOMY FOR STAB WOUNDS OF ABDOMEN1977
- BLUNT TRAUMA INVOLVING THE COLON AND RECTUMPublished by Wolters Kluwer Health ,1976
- Gunshot wounds of the colon: A review of 100 consecutive patients, with emphasis on complications and their causesThe American Journal of Surgery, 1976
- Civilian Colonic InjuriesArchives of Surgery, 1974
- Early management of the critically injured.1966
- Management of Liver Trauma in 259 Consecutive PatientsAnnals of Surgery, 1965