PENETRATING COLONIC INJURIES

PRIMARY REPAIR

Abstract

Introduction: The management of colonic injuries
continues to arouse lively debate. Objectives: To assess the efficacy of primary repair of penetrating colonic
injuries. Study Design: Prospective study. Setting: Surgical Unit No. IV Jinnah Hospital, Lahore Period:
one year from (Ist Jan 2002 to 31 Dec 2002). Patients & Methods: A study of 30 cases of penetrating
colonic injuries were managed with primary repair. Results: Most of the patients were male (80%). Stab
was the commonest mode of injury. The commonest sites were right colon & transverse colon (40% each).
The leg period was 1-5 (mean 3h). The commonest associated. Injury was liver (33%). The hospital stay was
7-13 days (mean10 days). Morbidity was 26%. No patient develop faucal fistula. Mortality remains nil.
Conclusion: Primary repair of penetrating colonic injury is recommended.