Management of penetrating injuries of colon

ABSTRACT

Types of operative measures adopted and prognosis of patients with perforating injuries to colon. Descriptive Study. This study was carried out in the Surgical Unit-I, Nishtar Medical College, Multan during the period from July 2011 to December 2011. All 60 patients were admitted in emergency ward with trauma to abdomen, and routine investigations were carried out. Majority of the patients i.e. 51 [85%] were injured by gunshot. Fifty five [90%] patients were male. For more extensive contamination colostomy gave complication rate 20% in grade 2 and 25% in grade-3. Patients who were anastomosed, 15% developed leakage. Out of 60 patients, 15 [25%] patients had injury at right colon, 16 [28%] had at transverse colon, 28 [46%] patients at left colon and remaining 11 [18%] patients had injury at sigmoid colon. Out of 60 patients, l0 [16%] patients were found in injury grade-1, 44 [74%] patients in grade-2 and 6 [10%] patients in injury grade-3 were involved. Majority of the patients i.e.44 [74%] had more complications. There was no difference between these two groups with respect to grade of colon injury according to the colon injury severity scale or location of injury. It was observed from data that selective primary repair may be used in a significant proportion of colon wounds. It was based on classification system that employs an assessment of the extent of tissue injury, degree of fecal contamination, assessment of associated injuries; estimates of the influences of delay between injury and definitive therapy and hemorrhagic shock