use of plastic shield to protect anastomotic line internally in primary colonic anastomosis without preparation in traumatic colonic injury in Assuit

ABSTRACT

In this study, 12 patients were chosen, all of them complaining of traumatic colon injury of variable degrees [grade II-VI]. The ages of the patients were variable and the injury was caused by either penetrating injuries [five cases] or blunt injuries [seven cases]. The proposed technique for management is primary colon repair with the implantation of an intra-colonic bypass tube that was formed from condom catheter sleeve after good debridement or resection of the colon, if viability is questioned. It was the only procedure in four cases or combined with other surgical procedures [as splenectomy, or repair of a liver tear], in eight cases; it was a relatively safe and easy technique and the operative time was greatly reduced [90 minutes] as compared with other options for treatment as proximal colostomy of an intra-operative lavage [120 and 180 minutes, respectively]. Moreover, the mortality rate was 0% in this work and all cases were operated smoothly without any problem: