The management of colonic and rectal injuries

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Abstract
Patients [150] treated at the Henry Ford Hospital with traumatic injuries of the colon and rectum are reviewed. Five of 119 patients treated with exteriorization died, 2 of them from mulitple visceral injuries, shortly after operation. The mortality rate for the primary-closure group of 24 patients was 8.3%. In this group, 11 patients had postoperative complications. Thirty-nine of the 119 patients in Group II had 62 complications. Infection was the predominant problem in both groups of patients. Exteriorization of the injured colon remains the safest method of managing these patients.