الفهرس | Only 14 pages are availabe for public view |
Abstract The management of traumatic colonic injuries has changed substantially in the second half of the past decade since World War II , with a shift to primary repair rather then diversion or exteriorization. The objective of our study was to evaluate the different therapeutic modalities in management of traumatic colon injuries and put management guidelines for these patients and evaluation of the risk factors that effect decision making in relation to the development of complication. Thirty patients with traumatic colon injuries were subjected to this study at Mansoura Emergency Hospital. Evaluation of the results was based on the evaluation of the risk factors in relation to the type of repair and the development of complication. from our study we conclude this management guideline for patients with traumatic colonic injuries : 1Primary repair for : Non destructive colon injuries (Grade I , II , III ) ,no delay from injury to surgical intervention (Time < 8 h ), and absence of the risk factors. 2Resection and Anastomosis for :Destructive colon injuries (Grade IV, V) ,no delay from injury tosurgical intervention (Time < 8 h ), and absence of the risk factors. 3Colostomy for :Destructive colon injuries (Grade IV , V ) ,with delay from injury to surgical intervention (Time < 8 h ), and presence of the risk factors. |