Abstract | OBJECTIVE: DESIGN: Prospective, interventional study. PLACE AND DURATION OF STUDY: Surgical Unit II at Lahore General Hospital, Lahore, over a period of 3 1/2 years from June 1999 to December 2002. PATIENTS AND METHODS: Out of 38 consecutive patients with penetrating colon injuries, a selective group of 25 patients (65.7%) undergoing primary repair (simple suture, resection and anastomosis without covering colostomy and right hemicolectomy) were included in this study. The morbidity and mortality variables were recorded and statistically analyzed. RESULTS: Majority of our patients were of younger age group (mean 25 years). Twenty patients (80%) were male. The commonest mode of injury was firearm injury (72%). The time interval between injury and repair was 3-11 hours (mean 7 hours). Simple repair of colon with interrupted stitches was the commonest procedure performed (44%), followed by right hemicolectomy (32%). Colon related complications developed in 3 patients (12%), which included two fecal fistulae and one intra-abdominal collection. One patient died of septicemia (4%). Hospital stay ranged between 6-16 days (mean 8 days). CONCLUSION: Primary repair is a safe method of managing penetrating colon injuries in carefully selected patients.
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Authors | Muhammad Ibrar Hussain, Muhammad Zahid, Hasan Askri, Tauqeer Hussain, Abul Fazal Ali Khan |
Journal | Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
(J Coll Physicians Surg Pak)
Vol. 13
Issue 7
Pg. 412-5
(Jul 2003)
ISSN: 1022-386X [Print] Pakistan |
PMID | 12887846
(Publication Type: Journal Article)
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Topics |
- Adult
- Colon
(injuries)
- Female
- Humans
- Male
- Postoperative Complications
- Wounds, Penetrating
(mortality, surgery)
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