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Primary repair versus diversion in penetrating colon injuries
Joint Authors
al-Hamdani, Adil Karim
al-Badri, Jasim Muhammad
Abd, Hashim J.
Abd, Hadil M.
Source
al-Kindy College Medical Journal
Issue
Vol. 9, Issue 1 (30 Jun. 2013), pp.71-79, 9 p.
Publisher
University of Baghdad al-Kindi College of Medicine
Publication Date
2013-06-30
Country of Publication
Iraq
No. of Pages
9
Main Subjects
Topics
Abstract EN
Back ground: In Iraq, after 2003 had more accidents of the shell, bullet and stab abdominal wounds, more over colon injuries.
Objective: The aim of this study is to evaluate the most appropriate management of penetrating colon injuries, comparing the primary repair with the diversion.
Methods: Eighty patient series with shell, bullet and stab colonic injuries during 4.5 years period from June 2006-december 2010 at Al-Yarmouk teaching hospital.
The study compared the use of primary repair versus diversion, analyzing variables such as sex, age, severity of injury and mortality rate.
Results: there were total 80 patients ,62 (77.5%) male and 18(22.5%) female .male :female ratio 3.4:1.
the most affected age group was 21-30 years.
47 patients 58.75% were shell injuries.28 patients 35% were bullet injuries.
5 patients 6.25% were stab wounds.
46 patients 57.5% managed by primary repair ,one of them 1.25% died, while diversion in34patients 42.5% different grades of colon injuries ,5 of them 6.25% died ,this was due to different factors such as multiple organ injuries and post operative complications.
Conclusion: the primary repair is safe and effective regarding morbidity and mortality in the management of grade II, III penetrating colon injuries with minimal risk factors as compared to diversion.
American Psychological Association (APA)
al-Hamdani, Adil Karim& al-Badri, Jasim Muhammad& Abd, Hashim J.& Abd, Hadil M.. 2013. Primary repair versus diversion in penetrating colon injuries. al-Kindy College Medical Journal،Vol. 9, no. 1, pp.71-79.
https://search.emarefa.net/detail/BIM-354703
Modern Language Association (MLA)
al-Hamdani, Adil Karim…[et al.]. Primary repair versus diversion in penetrating colon injuries. al-Kindy College Medical Journal Vol. 9, no. 1 (Jun. 2013), pp.71-79.
https://search.emarefa.net/detail/BIM-354703
American Medical Association (AMA)
al-Hamdani, Adil Karim& al-Badri, Jasim Muhammad& Abd, Hashim J.& Abd, Hadil M.. Primary repair versus diversion in penetrating colon injuries. al-Kindy College Medical Journal. 2013. Vol. 9, no. 1, pp.71-79.
https://search.emarefa.net/detail/BIM-354703
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 78-79
Record ID
BIM-354703