Medical and Dental Consultantsí Association of Nigeria
Home - About us - Editorial board - Search - Ahead of print - Current issue - Archives - Submit article - Instructions - Subscribe - Advertise - Contacts - Login 
  Users Online: 2164   Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
 
ARTICLE
Year : 2009  |  Volume : 12  |  Issue : 3  |  Page : 284-288

A study of the pattern, management and outcome of penetrating colon injuries in Sagamu


Department of Surgery, Olabisi Onabanjo University Teaching Hospital, Sagamu

Correspondence Address:
A O Tade
Department of Surgery, Olabisi Onabanjo University Teaching Hospital, Sagamu

Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 19803027

Rights and PermissionsRights and Permissions

BACKGROUND: Colon injuries are increasingly being treated safely by primary repair in spite of the high risk of septic complications. OBJECTIVE: This is a retrospective study of the pattern, management and outcome in patients treated for penetrating colon injuries at Olabisi Onabanjo University Teaching Hospital, Sagamu over a 7 year period (January 1995-December 2001). PATIENTS AND METHODS: Records of thirty-two patients were studied. RESULTS: Gunshots (75 percent) and knife stabs (18.75 percent) accounted for ninety-four percent of penetrating colon injuries. Associated intra-abdominal injuries were present in 22 patients (68.8 percent). Eight (twenty-five percent) patients presented in shock. Moderate to major faecal contamination was present in 30 (93.8%) patients. Severe colon injury occurred in nine patients. The eighteen patients with right colon wounds were managed by primary repair. All the fourteen patients with left colon wounds had a diverting colostomy alongside repair or resection. Complications included wound infection (56.7 percent) and septicaemia (31.7 percent). Eleven patients died, giving an overall mortality rate of 34.4 percent. Mortality was significantly associated with shock on admission (p<0.02), degree of faecal contamination (p<0.05) and severity of colon injury (p<0.01). Colostomy did not affect mortality. (P<0.1). CONCLUSION: In this study primary repair was employed in 56% of patients with penetrating colon injuries. The routine use of diverting colostomy for all left colon injuries can no longer be justified in current surgical practice as colostomy did not affect mortality.


[PDF Not available]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed386    
    Printed50    
    Emailed0    
    PDF Downloaded1    
    Comments [Add]    
    Cited by others 3    

Recommend this journal