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Category: Volume 07 Issue 09 September 2019
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Title: Penetrating Injuries of the Colon: Role of a Primary Repair

Author: Abdulbassit M. Alshallwi

 DOI: https://dx.doi.org/10.18535/jmscr/v7i9.19

Abstract

     

This study was designed to determine the role of primary repair in Penetrating injuries of the colon and to evaluate the possibility of expanding use of one stage non-diversion primary repair of colon injuries, this is a prospective study of100 patients with Penetrating injuries of the colon, Primary repair was the first choice except in cases of destructive colonic damage with disseminated gross peritoneal contamination requiring colostomy; Primary repair was performed in 76% with an incidence of abdominal sepsis of 11.8%. The remaining 24% of the patients had a colostomy and the incidence of abdominal sepsis was 29.2% (P< 0.05)in our study; left-sided colonic injuries, multiple colonic perforations, shock on admission, delay >6h, more than two associated intra-abdominal injuries, moderate Flint colonic injury Severity Score (FISS) not in themselves contraindications for primary repair.

Keywords: Colon; penetrating injury; Primary repair.

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Corresponding Author

Abdulbassit M. Alshallwi

Associated Professor of Surgery, Faculty of Medicine-Omar Almukhtar University