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Clin Colon Rectal Surg 2012; 25(04): 189-199
DOI: 10.1055/s-0032-1329389
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Historical and Current Trends in Colon Trauma

Marlin Wayne Causey
1   Department of Surgery, Uniformed Services University of the Health Sciences (USUHS), Madigan Healthcare System, Fort Lewis, Washington
,
David E. Rivadeneira
2   Department of Surgery, St. Catherine of Siena Medical Center, Smithtown, New York
,
Scott R. Steele
3   Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland
› Author Affiliations
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Publication History

Publication Date:
21 November 2012 (online)

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Abstract

The authors discuss the evolution of the evaluation and management of colonic trauma, as well as the debate regarding primary repair versus fecal diversion. Their evidence-based review covers diagnosis, management, surgical approaches, and perioperative care of patients with colon-related trauma. The management of traumatic colon injuries has evolved significantly over the past 50 years; here the authors describe a practical approach to the treatment and management of traumatic injuries to the colon based on the most current research. However, management of traumatic colon injuries remains a challenge and continues to be associated with significant morbidity. Familiarity with the different methods to the approach and management of colonic injuries will allow surgeons to minimize unnecessary complications and mortality.

Keywords

colon trauma - colon injury - damage control laparotomy - perioperative colon trauma care
 

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