Colon trauma: analysis of the medical records of 165 patients at the Hospital Universitario del Valle, Cali, Colombia
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The clinical charts of 165 patients who sustained colonic trauma were reviewed. Most patients (92%) were in the age group of 15 to 44 years. The man and woman ratio was 10:1. Stab wounds caused the lesion in 51% of the patients; in 43%, it was caused by gunshot and wounds; and in the remaining 6%, it was caused by closed trauma; 44.8% of the patients had right colonic lesions, 45.5% had left colonic lesions, and both portions were injured in 3%. The retroperitoneal rectum was compromised in 6.7% of the patients; 69.7% of the patients had other intraabdominal organs injured, and 53.9% had two or more organs injured other than the injured colon; 27.9% of the patients had extra-abdominal trauma.
Primary closure was done in 68.5% of the patients, colostomy in 24.8%, and colonic exteriorization in 4.9%. In 1.8% of cases, this information was not available. An aminoglycoside and chloramphenicol were combined in 53.3% of the patients to cover aerobic and anaerobic bacteria. Postoperative morbidity was present in 51.5% of the patients. Wound infection was present in 21.8% of the patients, and it was the most frequent complication, followed by an intraabdominal abscess in 12.7% of the patients. The overall mortality rate was 9.7%.
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