Penetrating colonic injuries treated by primary repair

ABSTRACT

15 cases of penetrating colonic injuries treated by primary repair irrespective of shock, degree of contamination and damage and site of injury, are presented 13 cases had repair of perforated colon, two had right hemicolectomy for extensive injury to the ascending colon., 11 had other associated visceral injuries. All were aggressively resuscitated and were given, third generation of cephalosporine [cefotaxime] with metronidazole as prophylactic antibiotics. One got foecal fistula, one had urinary fistula due to associated ureteric injury. Out of 15 cases one died 19 days after operation due to gastric fistula and empyema thoracic due to associated stomach and lung injuries. In view of our above experience, primary repair is advocated for all the colonic injuries