Canadian attitudes toward use of primary repair in management of colon trauma

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Abstract
PURPOSE: The majority of recent American articles on management of colon trauma promote liberal use of primary repair. The extent to which Canadian surgeons have embraced such recommendations is unknown. METHOD: To determine the current attitude of Canadian surgeons toward the use of primary repair, we surveyed the members of The Canadian Association of General Surgeons regarding their management of three fictitious cases of penetrating and blunt colon trauma. RESULTS: Three hundred seventeen members of The Canadian Association of General Surgeons responded. Ninety-two percent managed a fictitious case of early, uncontaminated stab wounds by primary repair. Delay in treatment or fecal contamination was associated with a significantly reduced number of respondents choosing primary repair (P).Surgeons were less likely to choose primary repair for management of a case of blunt colon injury (35 percent;P.