Surgical treatment of gunshot wounds to the colon
Totikov, V.Z.; Khestanov, A.K.; Kakabadze, M.A.; Dzgoev, K.V.
Vestnik Khirurgii Imeni I. I. Grekova 161(2): 66-70
2002
ISSN/ISBN: 0042-4625 PMID: 12216137 Document Number: 549475
An analysis of treatment of 76 patients with gunshot wounds of the colon was made as well as of the causes of the development of pyo-inflammatory complications. The morphological alterations of the intestine wall were studied in 22 patients at different distance from the wound at the light optical and electron microscopic levels. A conclusion is made that resection of the intestine with colostomy is necessary with regard to the zone of contusion. The formation of the colostomy should be performed by the proposed method which makes the restorative operation easier. Using these methods allowed the number of intraabdominal inflammatory operations to be reduced from 46.7% to 6.5% and lethality from 17.7% to 6.5%.