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Trauma of the Colon and Rectum

Chapter

Abstract

  • Reduction of colon-related mortality from about 60 % during World War I.

  • 40 % during World War II.

  • 10 % during the Vietnam War.

  • Lower than 3 % in the last few decades.

  • The abdominal sepsis rate has remained significant at about 20 %.

  • No other organ injury is associated with a higher septic complication rate than colon injury.

  • In patients with colon injuries with a Penetrating Abdominal Trauma Index (PATI) >25 or with multiple blood transfusions, the incidence of intra-abdominal sepsis is as high as 27 %.

  • In patients with destructive colon injuries requiring resection, the reported incidence of abdominal complications is about 24 %.

Keywords

Injury Severity Score Primary Repair Abdominal Sepsis Colon Injury Rectal Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.American College of SurgeonsChicagoUSA
  2. 2.Department of SurgeryUniversity of California Irvine School of MedicineOrangeUSA

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