Ata-ul Lateef, Maham Mansoor Rana.
Factors Affecting the Management of Traumatic Colonic Injury.
J Uni Med Dent Coll Jan ;10(1):37-44.

BACKGROUND: The main purpose behind conducting this study was to assess the effect of various factors in the management of colonic injuries and their outcome; and to propose a safe and valid protocol for the management of such injuries.METHODS:66 patients presenting with colonic injuries through emergency in General Surgical Unit of Allied Hospital Faisalabad were included in our study.RESULTS:The patients had an average age of 28 years, 73% being male. Forty-one patients underwent primary repair of the colon while 25 patients underwent fecal diversion. The time interval between injury and repair was less than 6 hours in 71% of patients. 67% of the patients sustained a gunshot wound to the abdomen, 15% were stab wounds and 18% were blunt injury. The associated abdominal organ injury was presented in most of the patients. Primary repair done in 62% patients and colostomies performed in 38% patients. The mortality rate was 14%.CONCLUSIONS:Several Factors contribute to the colon related post operative morbidity of patients and hence the treatment option such as: units of blood transfusion, multiorgan injuries, colon injury score, Injury Severity Score and degree of contamination. (p value <0.05 significant)Ata-Ul-LateefAssociate Professor of Surgery , Faisalabad Medical University, Faisalabad.Email: ataullateef@yahoo.com

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