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01-09-2013 | Evidence-Based Current Surgical Practice

Evidence-Based Management of Colorectal Trauma

Authors: Eric K. Johnson, Scott R. Steele

Published in: Journal of Gastrointestinal Surgery | Issue 9/2013

Excerpt

Despite years of debate, optimal management of the individual sustaining trauma to the colon and rectum continues to evolve. Current US military and worldwide combat operations have brought added emphasis to the controversies surrounding the proper management of these patients in both the military and civilian sectors. There has been a steady progression over time from nonoperative strategies to primary repair, and mandatory fecal diversion or injury exteriorization to the current recommendations of primary repair/resection and reanastomosis. Furthermore, while proximal fecal diversion remains an important option in the treatment of extraperitoneal rectal injuries, the use of traditional adjuncts has been challenged. Finally, increased utilization of damage control techniques has added not only another option to a surgeon’s disposal, but also to the controversy surrounding management as well. This article will evaluate the current evidence regarding colorectal trauma and provide recommendations for the care of these patients. …

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Title: Evidence-Based Management of Colorectal Trauma
Authors: Eric K. Johnson
Scott R. Steele
Publication date: 01-09-2013
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 9/2013
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-013-2271-9

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