Carlos A Ordoñez, Michael W Parra, Yaset Caicedo, Natalia Padilla, Edison Angamarca, José Julián Serna, Fernando Rodríguez-Holguín, Alberto García, Alexander Salcedo, Luis Fernando Pino, Adolfo González-Hadad, Mario Alain Herrera, Laureano Quintero, Fabian Hernández, María Josefa Franco, Gonzalo Aristizábal, Luis Eduardo Toro, Mónica Guzmán-Rodríguez, Federico Coccolini, Ricardo Ferrada, Rao Ivatury
{"title":"穿透性创伤合并小肠和大肠损伤的损伤控制外科治疗:造口术是否仍然相关?","authors":"Carlos A Ordoñez, Michael W Parra, Yaset Caicedo, Natalia Padilla, Edison Angamarca, José Julián Serna, Fernando Rodríguez-Holguín, Alberto García, Alexander Salcedo, Luis Fernando Pino, Adolfo González-Hadad, Mario Alain Herrera, Laureano Quintero, Fabian Hernández, María Josefa Franco, Gonzalo Aristizábal, Luis Eduardo Toro, Mónica Guzmán-Rodríguez, Federico Coccolini, Ricardo Ferrada, Rao Ivatury","doi":"10.25100/cm.v52i2.4425","DOIUrl":null,"url":null,"abstract":"<p><p>Hollow viscus injuries represent a significant portion of overall lesions sustained during penetrating trauma. Currently, isolated small or large bowel injuries are commonly managed via primary anastomosis in patients undergoing definitive laparotomy or deferred anastomosis in patients requiring damage control surgery. The traditional surgical dogma of ostomy has proven to be unnecessary and, in many instances, actually increases morbidity. The aim of this article is to delineate the experience obtained in the management of combined hollow viscus injuries of patients suffering from penetrating trauma. We sought out to determine if primary and/or deferred bowel injury repair via anastomosis is the preferred surgical course in patients suffering from combined small and large bowel penetrating injuries. Our experience shows that more than 90% of all combined penetrating bowel injuries can be managed via primary or deferred anastomosis, even in the most severe cases requiring the application of damage control principles. Applying this strategy, the overall need for an ostomy (primary or deferred) could be reduced to less than 10%.</p>","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2021-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/9b/1657-9534-cm-52-02-e4114425.PMC8216049.pdf","citationCount":"4","resultStr":"{\"title\":\"Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent?\",\"authors\":\"Carlos A Ordoñez, Michael W Parra, Yaset Caicedo, Natalia Padilla, Edison Angamarca, José Julián Serna, Fernando Rodríguez-Holguín, Alberto García, Alexander Salcedo, Luis Fernando Pino, Adolfo González-Hadad, Mario Alain Herrera, Laureano Quintero, Fabian Hernández, María Josefa Franco, Gonzalo Aristizábal, Luis Eduardo Toro, Mónica Guzmán-Rodríguez, Federico Coccolini, Ricardo Ferrada, Rao Ivatury\",\"doi\":\"10.25100/cm.v52i2.4425\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Hollow viscus injuries represent a significant portion of overall lesions sustained during penetrating trauma. Currently, isolated small or large bowel injuries are commonly managed via primary anastomosis in patients undergoing definitive laparotomy or deferred anastomosis in patients requiring damage control surgery. The traditional surgical dogma of ostomy has proven to be unnecessary and, in many instances, actually increases morbidity. The aim of this article is to delineate the experience obtained in the management of combined hollow viscus injuries of patients suffering from penetrating trauma. We sought out to determine if primary and/or deferred bowel injury repair via anastomosis is the preferred surgical course in patients suffering from combined small and large bowel penetrating injuries. Our experience shows that more than 90% of all combined penetrating bowel injuries can be managed via primary or deferred anastomosis, even in the most severe cases requiring the application of damage control principles. 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Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent?
Hollow viscus injuries represent a significant portion of overall lesions sustained during penetrating trauma. Currently, isolated small or large bowel injuries are commonly managed via primary anastomosis in patients undergoing definitive laparotomy or deferred anastomosis in patients requiring damage control surgery. The traditional surgical dogma of ostomy has proven to be unnecessary and, in many instances, actually increases morbidity. The aim of this article is to delineate the experience obtained in the management of combined hollow viscus injuries of patients suffering from penetrating trauma. We sought out to determine if primary and/or deferred bowel injury repair via anastomosis is the preferred surgical course in patients suffering from combined small and large bowel penetrating injuries. Our experience shows that more than 90% of all combined penetrating bowel injuries can be managed via primary or deferred anastomosis, even in the most severe cases requiring the application of damage control principles. Applying this strategy, the overall need for an ostomy (primary or deferred) could be reduced to less than 10%.
期刊介绍:
Colombia Médica is an international peer-reviewed medical journal that will consider any original contribution that advances or illuminates medical science or practice, or that educates to the journal''s’ readers.The journal is owned by a non-profit organization, Universidad del Valle, and serves the scientific community strictly following the International Committee of Medical Journal Editors (ICMJE) and the World Association of Medical Editors (WAME) recommendations of policies on publication ethics policies for medical journals.
Colombia Médica publishes original research articles, viewpoints and reviews in all areas of medical science and clinical practice. However, Colombia Médica gives the highest priority to papers on general and internal medicine, public health and primary health care.