[Penetrating colorectal trauma: index of severity and results of treatment].
OBJECTIVE
penetrating abdominal trauma index (PATI) validity in evaluation, management of the colorectal injuries and treatment results.


METHODS
Retrospective study of operations and treatment results of 42 patients, who had penetrating abdominal trauma with colorectal injury, was performed.


RESULTS
Surgery performed was primary resection of injured bowel in 7 (16.7%) cases, resection with end colostomy in 5 (11.9%), stomy only in 2 (4.8%), suture of the bowel in 25 (59.5%), suture with protective enterostomy in 3 (7.1%) cases. Postoperative course was complicated in 19 (45.2%) patients, mainly as wound complication 12 (29%) and intraabdominal complication 8 (19%). Postoperative mortality was 3 (7.1%). Analysis of the complications according to penetrating abdominal trauma index has shown, that there were statistical differences below and above 15 points in PATI - 35% versus 70%.


CONCLUSIONS
Postoperative complication rates depend on arterial blood pressure, peritoneal cavity contamination, and PATI. There is no correlation between method of operation and complications. PATI is useful in comparing extent and severity of colorectal trauma and could help in defining method of surgical repair. If PATI </=15 was found and contamination of peritoneal cavity is insignificant primary repair can be performed safely.
Mickevicius
Antanas
A
Clinic of Surgery, Kaunas University of Medicine Hospital, Eiveniu 2, 3007 Kaunas, Lithuania.
Klizaite
Jurgita
J
Tamelis
Algimantas
A
Saladzinskas
Zilvinas
Z
Pavalkis
Dainius
D
D000007:Abdominal Injuries / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D000367:Age Factors; D003106:Colon / Q000293:injuries* / Q000601:surgery; D003125:Colostomy; D005260:Female; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications; D012007:Rectum / Q000293:injuries* / Q000601:surgery; D012189:Retrospective Studies; D012737:Sex Factors; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000175:diagnosis / Q000601:surgery; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000601:surgery*; D014951:Wounds, Stab / Q000175:diagnosis / Q000601:surgery