This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

The role of primary repair for colonic injuries in wartime. BJS 2005; 92: 643-647.

Published: 30th March 2005

Authors: T. Hudolin, I. Hudolin

Background

The study reviewed an experience of selective primary repair for penetrating colonic injuries incorporating a number of procedures during the 1992–1995 Bosnia‐Herzegovina conflict.

Method

Of 5370 casualties, 259 (4·8 per cent) had injuries to the colon. The patients were divided into two groups: those who had primary repair and those who needed a colostomy. The patients' records were reviewed to determine the cause of injury (explosive weapons or bullets), the position and type of colon injury, associated injuries, the surgical procedure(s) done, complications related to the colonic wound or its management, and mortality.

Results

Some 122 (47·1 per cent) patients had primary colonic repair and 137 (52·9 per cent) had a colostomy. One hundred and fifty (57·9 per cent) were injured by explosive weapons, 108 (41·7 per cent) had bullet wounds and one (0·4 per cent) a stab injury. Associated injuries were seen in 249 (96·1 per cent) patients. Complications related to the colonic wound or its management developed in 27 per cent of patients after primary repair and 30 per cent after colostomy. Mortality rates were 8·2 per cent and 7·2 per cent, respectively.

Conclusion

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