Management Of Bowel Injuries: Preserving Bowel Continuity Pr
A study aimed to evaluate the outcome of primary repair of intestinal injuries in trauma patients. Patients who underwent bowel traumatic injuries at a high volume trauma center between 2007 and 2017, were included in the study. Postoperative course was analyzed for abdominal complications, morbidity and mortality. The overall severity of the trauma was assessed in two ways: hemodynamic status at the time of admission (patients with a systolic blood pressure less than 90 mmHg or on vasopressors were considered unstable), and severity scores such as the Injury Severity Score (ISS) and the New Injury Severity Score (NISS). Results showed that 87% of small bowel injuries and 81% of colon injuries were treated with primary repair or anastomosis, with no difference in treatment according to injury site. Mortality was 8%. Severe overall morbidity was 32%, and abdominal complications occurred in 32% of patients. Fistulas were seen in just 2.2 percent of patients, with no leakage following colon damage repair. They have concluded that primary repair of bowel injuries should be the preferred option in trauma patient, regardless of the site (small bowel or colon) of the injury.

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