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A DESCRIPTIVE STUDY TO ASSESS THE OUTCOMES OF PRIMARY REPAIR AMONG PATIENTS EXPERIENCING TRAUMATIC COLONIC INJURIES

Dr. Sana Jamal, Zoya Fatima Tariq, Dr Ali Raza

Objective: This research aims to assess the occurrence of primary repair outcomes among patients experiencing traumatic colonic injuries. Material and Methods: We carried out this descriptive research at Services Hospital, Lahore from April to October 2018 on a total of eighty patients experiencing exploratory laparotomy for colon injuries and abdominal trauma. Patients were enrolled in the age bracket of (20 – 60) years of both males and females. We did not include all those patients experiencing chronic liver disease, diabetes mellitus, associated > 2 organ injuries, hypertension, shocked patients (> 8 hours) after trauma and required (> 8 pints) of blood. Traumatic colonic Injury found in patients before operation while patients received Stab abdomen, Gunshot abdomen, road traffic accidents and blunt trauma abdomen. Institutional approval was sought before the commencement research along with informed consent of the patients. Results: In the age bracket of (20 – 60) years the mean age was (34.99 ± 14.65) years. Four patients presented leakage (5%) and 76 presented no leakage (95%). In the total of 80 patients, 52 were male (65%) and 28 were female (35%). Fifty males presented no leakage (96.15%) and 26 females (92.86%) patients. Gender presented no significant association with absence of leakage (P-Value 0.92). Gunshot abdomen was reported among 41 patients (51.25%), blunt trauma abdomen in 14 patients (17.5%) and 25 stab abdomen patients (31.25%). Conclusion: This research indicates that trauma colon primary repair presents low risk during treatment. However, we need to evaluate the outcomes of the treatment on a larger scale among moderate risk to high risk traumatic colonic injuries. Keywords: Colon Trauma, Colon Injury, Anastomosis Leakage and Primary Repair.

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