A critical review of management of 392 colonic and rectal injuries
作者:
John Bartizal,
David Boyd,
Frank Folk,
Durand Smith,
Theodore Lescher,
Robert Freeark,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1974)
卷期:
Volume 17,
issue 3
页码: 313-318
ISSN:0012-3706
年代: 1974
出版商: OVID
数据来源: OVID
摘要:
&NA;Three hundred ninety‐two patients underwent surgical treatment for injuries of the large intestine and rectum. The types of surgical intervention employed in these patients varied with severity of the trauma and location of injury. The highest incidence of wound infections and intra‐abdominal abscesses occurred in the primary‐repair group. Decompression technic significantly reduced the length of hospitalization, as seen in those patients with rectal injuries. This investigation does not support the contention that transfer patients are subject to a significant delay before surgery.An important surgical teaching principle is re‐emphasized, namely, that trauma surgery involves a contaminated field and unnecessary surgery, such as incidental appendectomies, should be prohibited. The extent of contamination of tissue destruction, and not location of injury to the large bowel, predisposes the patient to increased morbidity.
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