Management of colon injury in abdominal trauma
Zhu, W.-m.; Li, J.-s.
Zhonghua Wei Chang Wai Ke Za Zhi 15(12): 1214-1217
2012
ISSN/ISBN: 1671-0274 PMID: 23596665 Document Number: 656195
The incidence of colon injury is low but is associated with adverse outcome if managed inadequately.Colostomy and secondary closure has been the traditional management, which is associated with more pain to the patient and a waste of medical resource. Recent studies indicate that physiologic disturbances after trauma is the main risk factor of anastomotic leak , therefore primary repair or resection and anastomosis is feasible if physiological status of the patient is stable as calibrated by New Injury Severity Score and ASA score. For patients with open abdomen or temporary closure,colonic resection can also be performed at definitive abdominal closure in select cases.