Primary repair of colonic injuries

Aim: types of operative measures adopted and prognosis of patients with perforating injuries to colon. methods: this descriptive study was carried out in the department of general surgery,multan medical & dental college/ibn e siena hospital & research institute,multan,during the period from june 2009 to december 2013. all 100 patients were admitted in emergency ward with trauma to abdomen,and routine investigations were carried out. results: majority of the patients i.e. 51 (85%) were injured by gunshot. fifty five (90%) patients were male. for more extensive contamination colostomy gave complication rate 20% in grade 2 and 25% in grade-3. patients who were anastomosed,15% developed leakage. out of 60 patients,15(25%) patients had injury at right colon,16 (28%) had at transverse colon,28 (46%) patients at left colon and remaining 11(18%) patients had injury at sigmoid colon. out of 60 patients,10(16%) patients were found in injury grade-1,44(74%) patients in grade-2 and 6(10%) patients in injury grade-3 were involved. majority of the patients i.e. 44(74%) had more complications. there was no difference between these two groups with respect to grade of colon injury according to the colon injury severity scale or location of injury. conclusion: it was observed from data that selective primary repair may be used in a significant proportion of colon wounds. it was based on classification system that employs an assessment of the extent of tissue injury,degree of fecal contamination,assessment of associated injuries; estimates of the influences of delay between injury and definitive therapy and hemorrhagic shock.