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Surgical options in colorectal injuries Gonzalez RP; Turk BScand J Surg 2002[]; 91 (1): 87-91Colonic or rectal injuries occur in up to 10% of patients that suffer penetrating or severe blunt abdominal trauma. The majority of colon injuries are diagnosed intraoperatively following a penetrating abdominal injury. Rectal injuries are usually diagnosed preoperatively with a high index of suspicion based upon the wounding missile trajectory. The vast majority of colon injuries can be primarily repaired with a significant trend toward avoiding colostomy whenever possible. Colostomy is increasingly reserved for rectal injuries and destructive colon injuries with extenuating circumstances such as hemodynamic instability and significant associated injuries.|Abdominal Injuries/diagnosis/surgery/therapy[MESH]|Colon/*injuries[MESH]|Colostomy/methods[MESH]|Digestive System Surgical Procedures/*methods[MESH]|Emergency Medical Services/*standards[MESH]|Humans[MESH]|Intestinal Perforation/*diagnosis/*surgery/therapy[MESH]|Rectum/*injuries[MESH]|Wounds, Nonpenetrating/diagnosis/surgery/therapy[MESH]|Wounds, Penetrating/diagnosis/surgery/therapy[MESH] |
