Khumair Asif, Ghulam Muhammad, Rana Sohail, Banira Kirky, Fahad Rizvi, Fakhar Irfan, Khalid Javed Abid.
Primary repair versus colostomy in colonic injuries.
Pak J Med Health Sci Jan ;5(1):154-7.

Objective: To compare the primary repair versus colostomy in colonic injuries at tertiary care hospital in terms of morbidity and hospital stay. Design & duration: This quasi-experimental study was carried out from 27-1-07 to 26-07-07. Setting: Department of Surgery, Mayo Hospital Lahore. Patients and methods: Sixty patients presented within 10 hours after penetrating injury and damaged colon part is <1 cm with minimal faecal contamination, were included in the study. The patients who have injury of >2 abdominal viscera, frank faecal contamination, shock and immuno-compromised were excluded from the study. Patients were randomly divided in two groups; Group A (Primary repair), Group B (Colostomy), 30 patients in each group. Follow up in group A patients was done twice after 2 weeks and after one month. Follow up in group B was done for multiple times. Initially the visit was advised after every two week until the patient was called back for colostomy closure. Results: Out of sixty patients, 27 were males and 3 were females in group A and 28 were males and 2 were females in group B with Mean±SD ages were 28.9±8.1 years and 30.1±14.0 years. Mean hospital stay in group A was 8.9±3.6 days and in group B was 11.0±4.7 days. At two week follow up, in group A there was 1 patient of abscess, 1 patient of suture repair leak, 1 patient of sepsis and 2 patients of wound infection. In group B, there were 2 patients of abscess, 1 patient of suture repair leak, 3 patients of sepsis and 4 patients of wound infection. Conclusion: It is concluded that primary repair was safe and effective treatment modality in the management of colonic injuries as compared to colostomy.

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