Iranian Journal of Surgery

Recent Managements of Colorectal Trauma (Review of Litreature)

Document Type : Original Article

Authors

A. Amir Ahmadi 1
Sh. Boland Parvaz 2
H.R. Abbasi 2
S.M.V. Hosseini 3
S. Abbasi 4

1 Resident of General Surgery, Shiraz University of Medical Sciences and Health Services, Namazi Hospital, Shiraz, Ir

2 Assistant Professor of General Surgery, Shiraz University of Medical Sciences and Health Services, Namazi Hospital, Shiraz, Iran

3 Assistant Professor of Pediatric Surgery, Shiraz University of Medical Sciences and Health Services, Shahid Fagihi Hospital, Shiraz, Iran

4 Resident of General Surgery, Shiraz University of Medical Sciences and Health Services, Namazi Hospital, Shiraz, Iran

Abstract
Introduction & Objective: For all trauma patients during civil or war injuries, colorectal injuries is one of the most common challenging issues, which trauma surgeon may be encountered. Materials & Methods: In this review article we discuss the main aspects and management of colorectal traumatic perforation. About 56 articles have been reviewed and different trials have been discussed. Colostomy versus primary repair for colon perforation, management of extraperitoneal and intraperitoneal rectal perforation are discussed, also antibiotic therapy and time of colostomy closure which are controversial has been discussed in this article. Results: Some recent papers, have considered primary repair as a suitable method except in the patients with destructive colon wound and in the presence of risk factors. These risk factors accompany with the increase of mortality and morbidity rate, but do not influence the anastomosis leakage. This factors include, shock, time interval between the injury and surgical intervention, simultaneous injury to other organs, the need to blood transfusion and other disabling diseases. Conclusions: To clarify some other aspects of colorectal trauma surgery, trials and research in ambiguous subjects is recommended.

Keywords

Trauma
Colorectal injuries
Management
colostomy closure
antibiotics prophylaxis
Iranian Journal of Surgery
Volume 15, Autumn
Autumn 2006
Pages 1-9

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