Blunt pelviperineal injuriesAn expanded role for the diverting colostomy
作者:
Roberto,
Kusminsky Imad,
Shbeeb George,
Makos James,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1982)
卷期:
Volume 25,
issue 8
页码: 787-790
ISSN:0012-3706
年代: 1982
出版商: OVID
关键词: Trauma, blunt abdominal;Perineum, injuries;Colostomy, diverting;Colostomy, and perineal injuries
数据来源: OVID
摘要:
&NA;The combination of blunt pelvic and perineal injuries is relatively uncommon but carries with it a high morbidity and mortality. A colostomy with distal wash‐out plays a significant role in the prophylaxis of septic complications, even in the absence of recognizable colorectal trauma. Among 14 patients with this type of injury, there were six deaths (42 per cent). Three patients died initially because of hemorrhage, and three late deaths were due to sepsis. Two of these patients had no colostomy, and one had a diversion without wash‐out. The indications for proximal diversion should be broadened to include an expanded view of the perincum, herein presented.
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