Penetrating colorectal injuries

Abstract

Background:The treatment of colorectal injury has fluctuated over the past 100 years ,colostomy was the only option available currently a new approach through primary repair of colorectal injuries .
Aims:to ascertain the efficiency of primary colonic repair in comparison with colostomy in colorectal injuries .
Patients and Methods :A prospective study was conducted in Al- Yarmouk Teaching Hospital on 86 patients with colorectal injuries who have undergone laparotomy from Jan 2005 to Jan 2006 Twenty two patient were selected forad primary repair and 64 patients selected colostomy depending on Flints' grade which display severity of colonic injury .
Results : male to female ratio was 4:1 and peak age was 20-40 years 22 patients were treated by primary repair this including simple repair of perforation primary repair in 15 patients (17,44%)and resection and anastomosis in 7 patients (8.14%)while colostomy group included 23 patients were treated by primary repair with proximal colostomy ,37 patients were treated by exteriorization of the injured part,and 4 patients only underwent Hartmanns' colostomy.
Conclusions :primary repair of colorectal injuries is safe ,effective and much better than colostomy in term of morbidity, ,mortality and stay in hospital.