Pinilla GRO, Ferreira CPV

Language: Spanish
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ABSTRACT

Introduction: Abdominal trauma has an incidence that varies, according to publications; but the colon and the rectum are generally compromised anatomical structures.
Objective: To determine the clinical-surgical characteristics and the therapeutic results in patients with traumatic lesions of the colon and the rectum treated with derivative techniques.
Method: A descriptive, retrospective and multicenter study was conducted in selected clinical-surgical hospitals in Havana, from 2010 to 2015. The total sample consisted of all patients admitted with single or multiple rectocolonic trauma and treated with colostomy.
Results: The patients studied were characterized by age: young (less than 30), male (69.2%), evolution until surgical treatment over 12 hours (46.2%); caused by impalements and others (53.8%) and stab wounds (23.1%). The surgical techniques of loop colostomy and Hartman colostomy were applied, mainly. Both surgical time and stay were prolonged. The frequency of serious complications and mortality was high. The costs were high.
Conclusions: Colostomy is still a viable surgical alternative, but its selection must be based on the individualized evaluation of the cases and the prognostic rates.