Morbidity predicting factors of penetrating colon injuries.
OBJECTIVE
To analyze patients suffering from penetrating colon injuries management, clinical outcomes and factors, which predict higher morbidity and complications rate.


METHODS
this was a retrospective analysis of prospectively collected data from patients with injured colon from 1995 to 2008. Age, time till operation, systolic blood pressure, part of injured colon, fecal contamination, PATI were registered. Monovariate and multivariate logistic regression was performed to determine higher morbidity predictive factors.


RESULTS
61 patients had penetrating colon injuries. Major fecal contamination of the peritoneal cavity and systolic blood pressure lower than 90 mmHg are independent factors determining the fecal diversion operation. Primary repair group analysis establish that major fecal contamination and systolic blood pressure lower than 90 mmHg OR = 4.2 and 0.96 were significant risk factors, which have contributed to the development of postoperative complications. And systolic blood pressure lower than 90 mmHg and PATI 20 predict OR = 0.05 and 2.61 higher morbidity.


CONCLUSIONS
Fecal contamination of the peritoneal cavity and hypotension were determined to be crucial in choice of performing fecal diversion or primary repair. But the same criteria and PATI predict higher rate of postoperative complications and higher morbidity.
Clinic of Surgery, Kaunas University of Medicine, Lithuania.
A
A
Mickevicius
G
G
Valeikaite
A
A
Tamelis
Z
Z
Saladzinskas
S
S
Svagzdys
D
D
Pavalkis
D000328:Adult; D003106:Colon / Q000293:injuries* / Q000601:surgery; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage; D014946:Wound Infection; D014950:Wounds, Penetrating / Q000601:surgery*; D055815:Young Adult