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A critical review of management of 392 colonic and rectal injuries

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Diseases of the Colon & Rectum

Summary

Three hundred ninety-two patients underwent surgical treatment for injuries of the large intestine and rectum. The types of surgical intervention employed in these patients varied with severity of the trauma and location of injury. The highest incidence of wound infections and intra-abdominal abscesses occurred in the primary-repair group. Decompression technic significantly reduced the length of hospitalization, as seen in those patients with rectal injuries. This investigation does not support the contention that transfer patients are subject to a significant delay before surgery.

An important surgical teaching principle is re-emphasized, namely, that trauma surgery involves a contaminated field and unnecessary surgery, such as incidental appendectomies, should be prohibited. The extent of contamination of tissue destruction, and not location of injury to the large bowel, predisposes the patient to increased morbidity.

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Authors and Affiliations

  1. Departments of Surgery, Cook County Hospital, Abraham Lincoln School of Medicine of the University of Illinois College of Medicine, Loyola University Stritch School of Medicine, P.O. Box 6998, 60680, Chicago, Illinois

    John F. Bartizal M.D., M.S., David R. Boyd M.D.C.M., Frank A. Folk M.D., Durand Smith M.D., Theodore C. Lescher M.D. & Robert J. Freeark M.D.

  2. Northwestern University School of Medicine, Chicago, Illinois

    John F. Bartizal M.D., M.S., David R. Boyd M.D.C.M., Frank A. Folk M.D., Durand Smith M.D., Theodore C. Lescher M.D. & Robert J. Freeark M.D.

Authors
  1. John F. Bartizal M.D., M.S.
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  2. David R. Boyd M.D.C.M.
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  3. Frank A. Folk M.D.
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  4. Durand Smith M.D.
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  5. Theodore C. Lescher M.D.
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  6. Robert J. Freeark M.D.
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Additional information

Read at the meeting of the American Proctologic Society, Las Vegas, Nevada, May 10 to 13, 1971. This paper received the Education Committee Award.

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Bartizal, J.F., Boyd, D.R., Folk, F.A. et al. A critical review of management of 392 colonic and rectal injuries. Dis Colon Rectum 17, 313–318 (1974). https://doi.org/10.1007/BF02586972

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  • DOI: https://doi.org/10.1007/BF02586972

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