Acta clinica Croatica, Vol. 64. No. 2, 2025.
Izvorni znanstveni članak
https://doi.org/10.20471/acc.2025.64.02.16
Criteria for Primary or Two-Stage Diversion Procedures in Colon Injuries: Experience from a Tertiary Care Center in Montenegro
Ranko Lazović
; A3 Medical Hospital, Sutomore, Montenegro; Montenegrin Academy of Sciences and Arts, Podgorica, Montenegro
Batrić Vukčević
orcid.org/0000-0002-9905-8020
; Faculty of Medicine, University of Montenegro, Podgorica, Montenegro; Center for Digestive Surgery, Clinical Center of Montenegro, Podgorica, Montenegro
*
Ognjenka Šarenac
; A3 Medical Hospital, Sutomore, Montenegro
Jelena Lazović
; Euromedik General Hospital, Belgrade, Serbia
Nemanja Vukčević
; Faculty of Medicine, University of Montenegro, Podgorica, Montenegro; Department of Pediatric Surgery, Clinical Center of Montenegro, Podgorica, Montenegro
* Dopisni autor.
Sažetak
Modern literature supports primary repair in a wide array of colon injury presentations.
The aim of the study was to evaluate the validity of criteria for primary repair of colon injuries. The
analysis involved 96 patients with colon injuries. Group 1 (62 patients) underwent the Stone and Fabian
(S/F) criteria for primary repair, whereas group 2 (34 patients) underwent the following exclusion criteria
for primary repair: significant peritonitis, edema/ischemia of a large area/multiple colonic segments,
latent period >8 h, and intraoperative cardiorespiratory instability. The following variables were analyzed:
demographic data, mechanism of injury, latent period, distribution of injuries, macroscopic intraoperative
finding, and several trauma indices. The mean latent period was shorter in group 2 (1.3±1.1 h) versus
group 1 (4.9±3.7 h). Primary repair was more frequent in group 2. There was no difference in the success
rate of the primary procedures between the two groups according to Flint grade or S/F criteria. Primary
repair is safe and recommended in the first 8 h after injury in hemodynamically and respiratory stable
patients without intra-abdominal sepsis.
Ključne riječi
Colon; Colostomy; Primary repair; Surgery; Trauma
Hrčak ID:
337628
URI
Datum izdavanja:
30.6.2025.
Posjeta: 315 *