Surgical tactics in gunshot wounds of the colon
Zubarev, P.N.
Vestnik Khirurgii Imeni I. I. Grekova 144(3): 76-79
1990
ISSN/ISBN: 0042-4625 PMID: 2169129 Document Number: 354131
Differential surgical tactics was used in 74 wounded patients with injuries of the colon. It allowed to obtain good immediate results. The amount of postoperative complications was 23%, lethality was 12%. The wounds were sutured in 50 patients, among them in 15 patients the sutured parts were extraperitonized, in 21 patients decompression of proximal portions of the gastrointestinal tract was performed. Resection of the right flank with making ileo-transverso-anastomosis was performed in 5 patients, resection of the left flank with a proximal colostomy ++--in 9 patients. Operations of bringing the destroyed portion of the colon onto the anterior abdominal wall were fulfilled on most critically wounded patients.