title: [Our experience in the cases with penetrating colonic injuries].
abstract: BACKGROUND
  In this study, the factors that effect the morbidity and mortality in patients with penetrating colonic injuries were evaluated.
  
  
  METHODS
  Fourty-two patients (37 males, 5 females; mean age 30,1; range 14 to 63 years) with penetrating colonic trauma were evaluated according to age, gender, type of penetrating trauma, location and severity of the colonic injury, associated injury, interval between the trauma and the definitive operation, hemodynamic status, blood transfusion requirement, fecal contamination, surgical procedure, postoperative complication and mortality.
  
  
  RESULTS
  Type of the penetrating trauma was stab injury in twenty-eight (67%) patients, and gunshot injury in fourteen (33%) patients. The mean Colon Injury Severity Score was 2,1. The mean Abdominal Trauma Index (ATI) was 17,2 and it was over than 25 in eight (19%) patients. The symptoms of shock were present in eleven (26%) patients at admission. Blood transfusions were applied in sixteen (38%) patients. In twenty-one patients intraabdominal bleeding was observed and it was more than 500 mL in eleven (26%) patients. Primary repair was performed in 36 (86%) of the 42 patients and colostomy was performed in six (14%) patients. Morbidity and mortality rates were 41% and 10% respectively.
  
  
  CONCLUSIONS
  It was found that morbidity rates were increased in patients with ATI score higher than 25, and mortality rates were increased in patients presenting shock at admission, with the amount of intraabdominal blood more than 500 mL, and who needed three or more units of blood transfusion. The primary repair of the penetrating colon trauma can be performed confidently in the hemodynamically stable patients with ATI score less than 25.
authors.affiliation: Department of 3rd General Surgery, Atatürk Training and Research Hospital, 35360 Konak, Izmir, Turkey. mckahya@hotmail.com
authors.forename: Mehmet Cemal
authors.initials: MC
authors.lastname: Kahya
authors.forename: Hayrullah
authors.initials: H
authors.lastname: Derici
authors.forename: Necat
authors.initials: N
authors.lastname: Cin
authors.forename: Fatma
authors.initials: F
authors.lastname: Tatar
authors.forename: Yasin
authors.initials: Y
authors.lastname: Peker
authors.forename: Hüdai
authors.initials: H
authors.lastname: Genç
authors.forename: Vedat
authors.initials: V
authors.lastname: Deniz
authors.forename: Enver
authors.initials: E
authors.lastname: Reyhan
mesh_terms: D000007:Abdominal Injuries / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D003106:Colon / Q000293:injuries*; D003125:Colostomy; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D014421:Turkey / Q000453:epidemiology; D014950:Wounds, Penetrating / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality / Q000473:pathology / Q000601:surgery*