COLONIC INJURIES

PRIMARY REPAIR VS COLOSTOMY AN EXPERIENCE AT MAYO HOSPITAL

Abstract

Objectives: To determine the effectiveness of primary repair of colonic injuries and its comparison with the traditional
colostomy or exteriorization. Methods: The study was performed in Mayo hospital Lahore. Of the initial 114 patients 63 patients with colonic
injuries were selected and divided into 2 groups. After resuscitation these patients were operated. Both methods of treatment of colonic injuries
were employed in different patients. Results were tabulated and a comparison of primary repair vs colostomy was done. Results: Recovery
of patients undergoing primary repair was comparable with those having colostomy done. Only one major complication of leak occurred in the
primary repair group. Abdominal dehiscence occurred in the colostomy group. Average hospital stay of 9 days in the primary repair group was
significant and far less, than 22 days in colostomy group. Conclusion: Under controlled circumstances primary repair of colonic injuries appears
to be a good mode of treatment.