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   Primary repair versus colostomy in traumatic colonic injuries  
   
نویسنده usman a. ,hasan f. ,hamid t. ,ali m.
منبع pakistan journal of medical and health sciences - 2015 - دوره : 9 - شماره : 1 - صفحه:41 -43
چکیده    Aim: to compare the primary repair with colostomy in traumatic colonic injuries at tertiary care hospital in terms of morbidity and hospital stay. methods: the study was conducted in the department of surgery,north surgical ward,mayo hospital,lahore for one year from 01-07-2012 to 30-06-2013. sixty patients fulfilling the inclusion criteria were selected for this study. patients were randomly allocated in two groups group a (primary repair),group b (colostomy),30 patients in each group. follow up in group a patients was done twice; after 2 weeks and after six weeks of discharge. the follow up in group b was done several times. initially the visit was advised after every two weeks until the patient was called back for colostomy closure. results: the mean age in group a was 28.9±8.1 years and mean age in group b was 30.1±14.0 years. the mean hospital stay in group a was 8.9±3.65 days and in group b was 11.0±4.7 days. at two weeks follow up,in-group a there was 1(3.3%) patient of abscess,1(3.3%) patient of suture repair leak,1 (3.3%) patient of sepsis and 2(6.7%) patients of wound infection. in group b,there were 2(6.7%) patients of abscess,1(3.3%) patient of suture repair leak,3(10%) patients of sepsis and 4(13.3%) patients of wound infection. conclusion: it is concluded from this study that primary repair is safe and effective treatment modality in the management of traumatic colonic injuries as compared to colostomy.
کلیدواژه Colostomy; Penetrating colonic injuries; Primary repair
آدرس department of surgery,nawaz sharif social security teaching hospital, Pakistan, department of surgery,nawaz sharif social security teaching hospital, Pakistan, department of surgery,nawaz sharif social security teaching hospital, Pakistan, department of surgery,nawaz sharif social security teaching hospital, Pakistan
 
     
   
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