comparative study of primary colonic repair versus stoma in emergency cases

ABSTRACT

Background: In emergency surgery, management of an enterotomy, either spontaneous or following resection of a bowel segment can be by approximation of cut edges, referred to as primary repair or by exteriorization of the involved segment, referred to as ostomy. Indication of this operation can be a perforated bowel segment [produced as a result of trauma or secondary to an inflammatory process of gut] or a devitalized/redundant segment of bowel requiring resection. Penetrating colon injury or blunt abdominal trauma carries a high risk of a high-risk rate of infectious morbidity. The development of infectious complications is related to the injury severity and haemodynamic status of the patient, not the type of operation performed