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Keywords primary closure of colon injur...

primary closure of colon injuries in penetrating abdominal trauma

https://read.qxmd.com/read/2362303/-colon-and-rectal-trauma
#21
JOURNAL ARTICLE
C J Huang, T J Huang, H M Chan, Y F Juang, Y S Huang, J S Hsieh
From July 1982 to June 1989, 64 patients with trauma involving a colon and rectum operated on at the Kaohsiung Medical College Hospital were retrospectively reviewed. Their ages ranged from 14 to 90 years (mean 43.6 +/- 17.6 years); 48 were male, 16 female. Thirty-four (53.1%) had penetrating injuries, 30 (46.9%) had blunt injuries. Twenty-six (86.7%) blunt injuries and 7 (20.6%) penetrating injuries involved various associated injuries. There was a significantly greater number of associated organ injury in cases of blunt trauma...
May 1990: Gaoxiong Yi Xue Ke Xue za Zhi, the Kaohsiung Journal of Medical Sciences
https://read.qxmd.com/read/1425057/the-present-role-of-colostomy-in-the-management-of-trauma
#22
REVIEW
W F Fallon
The role of colostomy in the treatment of abdominal trauma has changed over the past several decades. Primarily as a result of its successful use in military settings, colostomy initially was the mainstay of treatment for penetrating injury to the colon, rectal injury, and some forms of blunt trauma. Subsequent civilian experience with the techniques of primary repair of penetrating colon injury resulted in a decrease in the number of colostomies performed. Coupled with this experience, early data on adverse outcome from colostomy closure tended to support the trend of the ever-diminishing place of colostomy for trauma...
November 1992: Diseases of the Colon and Rectum
https://read.qxmd.com/read/1395983/colorectal-trauma-primary-repair-or-anastomosis-with-intracolonic-bypass-vs-ostomy
#23
RANDOMIZED CONTROLLED TRIAL
R E Falcone, S R Wanamaker, S A Santanello, L C Carey
This prospective, randomized, controlled study was undertaken to compare primary repair or anastomosis with intracolonic bypass vs. ostomy in severe colon and intraperitoneal rectal injury. Patients were randomized at surgery following confirmation of injury. Data collected included demographics, mechanism and location of injury, trauma score (TS), injury severity score (ISS), penetrating abdominal trauma index (PATI), complications, length of hospital stay, and hospital charges. Twenty-two patients were studied: 11 with intracolonic bypass and 11 controls...
October 1992: Diseases of the Colon and Rectum
https://read.qxmd.com/read/786053/morbidity-of-colostomy-closure
#24
JOURNAL ARTICLE
R D Yajko, L W Norton, L Bloemendal, B Eiseman
An unexpectedly high morbidity (28 per cent) followed colostomy closure in 100 patients. One patient died postoperatively because of sepsis resulting from disruption of the colon anastomosis. Wound infection (10 per cent), intraperitoneal abscess (1 per cent), bowel obstruction (7 per cent), and fecal fistula (4 per cent) were other significant complications. Wound sepsis was greater after primary than after delayed wound closure. Obstruction did not correlate with the use of either an open or closed technic of anastomosis...
September 1976: American Journal of Surgery
https://read.qxmd.com/read/142185/traumatic-rupture-of-diaphragm-surgical-reconstruction-with-special-reference-to-delayed-closure
#25
JOURNAL ARTICLE
Z Feigenberg, J Salomon, M J Levy
Thirteen cases of diaphragmatic rupture following blunt trauma or gunshot wounds are presented. In 10 cases the diagnosis of diaphragmatic rupture was made immediately following the injury, and the defect was closed by primary diaphragmatic suture. In three cases, the diagnosis was delayed for 3 to 16 years after the initial trauma. In all of them, abdominal organs such as the colon or liver had migrated into the thoracic cavity. One of them had acute intestinal obstruction and died following several unsuccessful operations...
August 1977: Journal of Thoracic and Cardiovascular Surgery
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