FACTORS AFFECTING THE MANAGEMENT OF TRAUMATIC COLONIC INJURY

• Main Authors: Ata-ul-Lateef, Maham Mansoor Rana
• Format: Article
• Language: English
• Published: University of Faisalabad 2019-03-01
• Series: Journal of University Medical & Dental College
• Online Access: http://jumdc.com/index.php/jumdc/article/view/28

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)