The majority of colon injuries are caused by penetrating trauma. There are three treatment options for colon injuries: primary repair, resection and anastomosis, and resection and fecal diversion. In damage control surgeries, the repair of colon injury is performed using staplers involving proximal and distal colon. Second-look surgery is performed when the patient has been adequately resuscitated. Risk factors include hemodynamic instability, transfusion of more than 4 units of blood within the first 24 hours, significant associated injuries, and diffuse fecal contamination.
KeywordsColon injuries Penetrating trauma Abdominal trauma Trauma Laparotomy
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