Management Of Penetrating Colonic Injuries

Abstract

A study of 75 patients sustaining penetrating injuries of colon from September 1994 to September 1996 is presented. The patients were managed in one of the surgical units of Mayo Hospital Lahore. Eighty nine percent were male and 11 % female. Sixty nine percent belonged to 2nd and 3rd decade of life. Eighty four percent sustained gunshots wound and 16%had stab wound. Seventy six percent reached hospital within three hours and 80%were operated within three hours after reaching the hospital. Eighty four percent were stable at the time of admission and 87% had other associated injuries. In 13% primary repair was done. In 24% injured colon was exteriorized and 44% had colostomy. Transverse and pelvic colon were mostly injured. Twenty seven percent had respiratory complications and 20% had wound infection. The mortality was 14%.