Izvorni znanstveni članak
War Injuries of Colon and Rectum – Results After 10 Years
Ž. Bušić
F. Rudman
I. Stipančić
E. Amić
D. Bušić
Sažetak
The aim of our study is to evaluate results of treating war injuries of colon and rectum,
after 10 years. During the war in Croatia, 21 wounded, with colon (19) and rectum
(2) injuries, were treated in the Department of Surgery at Nova Gradi{ka General Hospital
from August 1991 to April 1992. Bullet wounds accounted for 57% of the injuries.
All patients had other associated injuries. Primary repair and proximal derivation was
possible in 2 cases (9.5%), while primary resection with intraperitoneal anastomosis
was performed in 3 (14.3%) patients. In 2 (9.5%) patients sustained intraperitoneal and
extraperitoneal rectal penetrating injury rectum was resected and closed performing
temporary sigmoidostomy. When multiple perforations or crush injury of the colon were
found, in 8 (38.1%) injured persons resection of the involved segment was combined
with proximal end colostomy and aboral mucous fistula. Exteriorization of injured segment
of the colon and creating colostomy incorporating the injured colon as the stoma
was performed in 6 (28.5%) wounded patients. Four of the wounded (19.0 %) died two of
them during the operative procedure due to hemorrhagic shock. One injured died after
eight days due to pulmonary embolism, and one patient died after thirty days due to
sepsis. Reoperation was necessary in two (9.5%) injured due to bowel obstruction four
days following initial surgery because of adhesions. Three (14.3%) of the injured had
wound infection, one of them died 30 days after injury due to sepsis, and two (9.5%) consequently
developed ventral hernia that was operated after 4 and 5 years respectively.
Four (19.0%) of the injured are still occasionally experiencing occasional abdominal
pain.
Ključne riječi
Hrčak ID:
28284
URI
Datum izdavanja:
16.12.2002.
Posjeta: 1.367 *