Abstract
Colon and rectal injuries pose major challenges for the operating surgeon. Modern management takes into account the time elapsed from injury, the site and extent of the injury and the overall status of the patient. Colostomy in every case has evolved to become a more selective approach. Primary anastomosis is now considered feasible in most cases. The long-standing different approach to right and left colon injuries is debated. Intraperitoneal rectal injuries can be managed similar to left colon injuries by primary repair, whereas the mainstay of management of extraperitoneal injuries remains proximal colostomy. The extent of injury, associated abdominal injuries, presence of shock, number of blood transfusions and the time from injury to operation determine the decision-making process and the prognosis for these patients.
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Kontopodis, N., Taflampas, P., Spiridakis, K. et al. Colon and rectal injuries: Contemporary management. Hellenic J Surg 83, 267–273 (2011). https://doi.org/10.1007/s13126-011-0051-0
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DOI: https://doi.org/10.1007/s13126-011-0051-0