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| Format: | Artículo científico |
| Language: | en |
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Universidad del Valle
2021
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| Online Access: | https://www.redalyc.org/articulo.oa?id=28366681004 https://www.redalyc.org/journal/283/28366681004/ https://www.redalyc.org/journal/283/28366681004/html/ https://www.redalyc.org/journal/283/28366681004/28366681004.epub https://www.redalyc.org/journal/283/28366681004/movil |
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| _version_ | 1866815418507722752 |
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| author | Carlos A. Ordoñez |
| author_facet | Carlos A. Ordoñez |
| contents | Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent? Carlos A. Ordoñez Michael W. Parra Yaset Caicedo Natalia Padilla Edison Angamarca José Julián Serna Fernando Rodríguez-Holguín Alberto García Alexander Salcedo Luis Fernando Pino Adolfo González-Hadad Mario Alain Herrera Laureano Quintero Fabian Hernández María Josefa Franco Gonzalo Aristizábal Luis Eduardo Toro Mónica Guzmán-Rodríguez Federico Coccolini Ricardo Ferrada Rao Ivatury Medicina Ostomy Fistula Laparotomy Anastomotic Leak Primary Anastomosis Hollow viscus injuries represent a significant portion of overall lesions sustained during penetrating trauma. Currently, isolated small or large bowel injuries are commonly managed via primary anastomosis in patients undergoing definitive laparotomy or deferred anastomosis in patients requiring damage control surgery. The traditional surgical dogma of ostomy has proven to be unnecessary and, in many instances, actually increases morbidity. The aim of this article is to delineate the experience obtained in the management of combined hollow viscus injuries of patients suffering from penetrating trauma. We sought out to determine if primary and/or deferred bowel injury repair via anastomosis is the preferred surgical course in patients suffering from combined small and large bowel penetrating injuries. Our experience shows that more than 90% of all combined penetrating bowel injuries can be managed via primary or deferred anastomosis, even in the most severe cases requiring the application of damage control principles. Applying this strategy, the overall need for an ostomy (primary or deferred) could be reduced to less than 10%. 2021 reseña 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681004 https://www.redalyc.org/journal/283/28366681004/ https://www.redalyc.org/journal/283/28366681004/html/ https://www.redalyc.org/journal/283/28366681004/28366681004.epub https://www.redalyc.org/journal/283/28366681004/movil 10.25100/cm.v52i2.4425 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.52 |
| format | Artículo científico |
| id | redalyc_28366681004 |
| language | en |
| publishDate | 2021 |
| publisher | Universidad del Valle |
| spellingShingle | Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent? Carlos A. Ordoñez Medicina Ostomy Fistula Laparotomy Anastomotic Leak Primary Anastomosis Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent? Carlos A. Ordoñez Michael W. Parra Yaset Caicedo Natalia Padilla Edison Angamarca José Julián Serna Fernando Rodríguez-Holguín Alberto García Alexander Salcedo Luis Fernando Pino Adolfo González-Hadad Mario Alain Herrera Laureano Quintero Fabian Hernández María Josefa Franco Gonzalo Aristizábal Luis Eduardo Toro Mónica Guzmán-Rodríguez Federico Coccolini Ricardo Ferrada Rao Ivatury Medicina Ostomy Fistula Laparotomy Anastomotic Leak Primary Anastomosis Hollow viscus injuries represent a significant portion of overall lesions sustained during penetrating trauma. Currently, isolated small or large bowel injuries are commonly managed via primary anastomosis in patients undergoing definitive laparotomy or deferred anastomosis in patients requiring damage control surgery. The traditional surgical dogma of ostomy has proven to be unnecessary and, in many instances, actually increases morbidity. The aim of this article is to delineate the experience obtained in the management of combined hollow viscus injuries of patients suffering from penetrating trauma. We sought out to determine if primary and/or deferred bowel injury repair via anastomosis is the preferred surgical course in patients suffering from combined small and large bowel penetrating injuries. Our experience shows that more than 90% of all combined penetrating bowel injuries can be managed via primary or deferred anastomosis, even in the most severe cases requiring the application of damage control principles. Applying this strategy, the overall need for an ostomy (primary or deferred) could be reduced to less than 10%. 2021 reseña 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681004 https://www.redalyc.org/journal/283/28366681004/ https://www.redalyc.org/journal/283/28366681004/html/ https://www.redalyc.org/journal/283/28366681004/28366681004.epub https://www.redalyc.org/journal/283/28366681004/movil 10.25100/cm.v52i2.4425 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.52 |
| title | Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent? |
| topic | Medicina Ostomy Fistula Laparotomy Anastomotic Leak Primary Anastomosis |
| url | https://www.redalyc.org/articulo.oa?id=28366681004 https://www.redalyc.org/journal/283/28366681004/ https://www.redalyc.org/journal/283/28366681004/html/ https://www.redalyc.org/journal/283/28366681004/28366681004.epub https://www.redalyc.org/journal/283/28366681004/movil |