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Ann R Coll Surg Engl. Nov 1992; 74(6): 381–384.
PMCID: PMC2497694

Gunshot wounds of the colon: role of primary repair.

Abstract

This is a prospective study of 100 patients with bullet injuries of the colon. Primary repair was performed except in cases of severe colonic damage requiring colectomy or in the presence of disseminated gross peritoneal contamination. Primary repair was performed in 76% with an incidence of abdominal sepsis of 11.8%. The remaining 24% of the patients had a colostomy and the incidence of abdominal sepsis was 29.2% (P < 0.05). Left-sided colonic injuries, multiple colonic perforations, shock on admission, delay > 6 h, more than two associated intra-abdominal injuries, high Injury Severity Score (ISS), and high Penetrating Abdominal Trauma Index (PATI), are not in themselves contraindications for primary repair.

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Selected References

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  • Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME. A revision of the Trauma Score. J Trauma. 1989 May;29(5):623–629. [PubMed]
  • Moore EE, Dunn EL, Moore JB, Thompson JS. Penetrating abdominal trauma index. J Trauma. 1981 Jun;21(6):439–445. [PubMed]
  • Boyd CR, Tolson MA, Copes WS. Evaluating trauma care: the TRISS method. Trauma Score and the Injury Severity Score. J Trauma. 1987 Apr;27(4):370–378. [PubMed]
  • Demetriades D, Rabinowitz B, Sofianos C, Prümm E. The management of colon injuries by primary repair or colostomy. Br J Surg. 1985 Nov;72(11):881–883. [PubMed]
  • Falcone RE, Carey LC. Colorectal trauma. Surg Clin North Am. 1988 Dec;68(6):1307–1318. [PubMed]
  • Demetriades D, Lawson HH, Sofianos C, Oosthuizen MM, Kurstjens S, Frolich J. Healing of the right and left colon. An experimental study. S Afr Med J. 1988 Jun 4;73(11):657–658. [PubMed]
  • Demetriades D, Lakhoo M, Pezikis A, Charalambides D, Pantanowitz D, Sofianos C. Short-course antibiotic prophylaxis in penetrating abdominal injuries: ceftriaxone versus cefoxitin. Injury. 1991 Jan;22(1):20–24. [PubMed]
  • Shannon FL, Moore EE. Primary repair of the colon: when is it a safe alternative? Surgery. 1985 Oct;98(4):851–860. [PubMed]
  • Burch JM, Brock JC, Gevirtzman L, Feliciano DV, Mattox KL, Jordan GL, Jr, DeBakey ME. The injured colon. Ann Surg. 1986 Jun;203(6):701–711. [PMC free article] [PubMed]
  • Adkins RB, Jr, Zirkle PK, Waterhouse G. Penetrating colon trauma. J Trauma. 1984 Jun;24(6):491–499. [PubMed]
  • Levison MA, Thomas DD, Wiencek RG, Wilson RF. Management of the injured colon: evolving practice at an urban trauma center. J Trauma. 1990 Mar;30(3):247–253. [PubMed]
  • Baker LW, Thomson SR, Chadwick SJ. Colon wound management and prograde colonic lavage in large bowel trauma. Br J Surg. 1990 Aug;77(8):872–876. [PubMed]
  • Beall AC, Jr, Bricker DL, Alessi FJ, Whisennand HH, DeBakey ME. Surgical considerations in the management of civilian colon injuries. Ann Surg. 1971 Jun;173(6):971–978. [PMC free article] [PubMed]
  • Garfinkle SE, Cohen SE, Matolo NM, Getzen LC, Wolfman EF., Jr Civilian colonic injuries. Changing concepts of management. Arch Surg. 1974 Sep;109(3):402–404. [PubMed]

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