Shahidullah Ahmad, Kaleem Ullah, Sheikh Muhammad Ibqar Azeem, Aftab Hussain, Muddasar Shahzad, Viqar Aslam.
Primary anastamosis versus colostomy in patients with penetrating colonic injuries: a compartive study.
Pak J Surg Jan ;36(3):208-11.

Objectives: To compare primary anastamosis versus colostomy in patients with penetrating colonic injuries Materials and Methods: This randomized control trial was conducted at Surgical A and B Units, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar. The duration of the study was six months in which a total of 290. i.e. (145 in each group) patients were enrolled. Open randomized sampling was adopted and after following all ethical measures and informed written consent was taken from all the patients. SPSS v.20.0 was used as a statistical instrument where descriptive calculations were taken for categorical and numerical variables. Results: This study shows that mean age in primary anastamosis was 33+-2.81 years while in Colostomy was 32+-2.13 years. In primary anastamosis group 80% patients were male and 20% patients were female while in colostomy group 85% patients were male and 15% patients were female. In effectiveness, the results of primary anastamosis were 95% effective while colostomy showed effectiveness in only 85% patients. Conclusion: Primary anastamosis is safe and has excellent results as compare to colostomy in the treatment of penetrating colonic injuries.

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