MANAGEMENT OF COLON TRAUMA: EXPERIENCE IN 403 CASES

Abstract

Objective: To present the experience in the management of the trauma of colon at Trauma Unit. Hospital Domingo Luciani. IVSS, Caracas.
Methods: We conducted a retrospective, descriptive and study of cross section, based on the review of medical records of patients
admitted to our institution during the period January 2009 – December 2012, who in surgical exploration showed colon trauma, assessed the variable: sex, time of evolution of the injury, hemodynamic stability, mechanism of trauma, localization of the lesion, degree of lesion of colon, degree of contamination, associated injuries and surgical conduct. Results were expressed in pie charts and bar charts. Results: A total of 403 patients, of whom 95% was represented by male. Evolution time was less than 6 hours in a 96%, 75% of the patients were stable hemodynamic, gunshot wound represented the mechanism of injury more frequently (84%). As for the most affected colon segment transverse and ascending colon with a 34 and 29% is respectively. Lesion grade II of colon predominated with 45%. Grade A contamination of cavity was observed in 38%. Primary repair was the more employed conduct, representing an 82.1%, the small intestine was the most associated affected organ (35%). Conclusion: Treatment of choice for colon injuries is the primary repair. The colostomy must be taken into account by the surgeon in the presence of hemodynamic instability, index of abdominal trauma and time evolution of the lesion.