Abarca AF, Abarca RF, Izurieta TJC

Language: Spanish
References: 12
Page: 117-121
PDF size: 48.00 Kb.

ABSTRACT

The morbidity in patients with colon trauma has diminished ever since the first and second World War, this was due to the improvements in pre and postoperative, the advances in antibiotic therapy and the reduction of time between the injury and the surgical intervention. Currently you can find a large enough consensuses vouched for by several works and publications during the last 50 years with regards to colon trauma injuries after being repaired with the security during the first closing, which is a secure procedure in patients that were carefully selected for this application. We present a statistical revision of 42 patients with abdominal trauma and present colon injuries. These patients entered into a prospective study of 4 years from 2000 to 2004 at the Teodoro Maldonado Carbo Hospital in Guayaquil- Ecuador. We compared the use of the primary closing and the surgery derivative of colon trauma. Variables are analyzed such as the type of injury, the location of the injury, associated injuries, time of arrival, Flint scale, hospital stay and complication. And the morbidity is used as a method of evaluation for the Minitab program for the descriptive statistic with a 95% effective range as its interval. We reach a conclusion where the mortality does not change with surgery, on the contrary what diminished the morbidity is the primary closing as the ideal technique in the management of the colon injuries.

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