The management of colonic and rectal injuries.
One hundred fifty cases of patients treated at the Henry Ford Hospital with traumatic injuries of the colon and rectum are reviewed. Five of 119 patients treated with exteriorization died, two of them from multiple visceral injuries, shortly after operation. The mortality rate for the primary-closure group of 24 patients was 8.3 per cent. In this group, 11 patients had postoperative complications. Thirty-nine of the 119 patients in Group II nad 62 complications. Infection was the predominant problem in both groups of patients. We still believe that exteriorization of the injured colon remains the safest method of managing these patients.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003106:Colon / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012007:Rectum / Q000293:injuries* / Q000601:surgery