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Colon Injuries

  • Rafaela de Araújo Molteni
  • Waleyd Ahmad Omar
  • Rached Hajar Traya
  • Mariana F. Jucá Moscardi
  • Yukihiro Kanda
  • Rishi Rattan
Chapter

Abstract

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.

Keywords

Colon injuries Penetrating trauma Abdominal trauma Trauma Laparotomy 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Rafaela de Araújo Molteni
    • 1
  • Waleyd Ahmad Omar
    • 1
  • Rached Hajar Traya
    • 1
  • Mariana F. Jucá Moscardi
    • 2
  • Yukihiro Kanda
    • 3
  • Rishi Rattan
    • 4
  1. 1.Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  2. 2.Telemedicine and Trauma Research, University of Miami, Ryder Trauma CenterMiamiUSA
  3. 3.Ryder Trauma Center – Jackson Health System, Miller School of Medicine, University of MiamiMiamiUSA
  4. 4.Division of Trauma Surgery & Critical Care, DeWitt Daughtry Family Department of Surgery, Miller School of Medicine, University of MiamiMiamiUSA

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