PURPOSE: This study was designed to develop treatment algorithms for colon, rectal, and anal injuries based on the review of relevant literature. METHODS: Information was obtained through a MEDLINE ( www.nobi.nih.gov/entrez/query.fcgi ) search, and additional references were obtained through cross-referencing key articles cited in these papers. RESULTS: A total of 203 articles were considered relevant. CONCLUSIONS: The management of penetrating and blunt colon, rectal, and anal injuries has evolved during the past 150 years. Since the World War II mandate to divert penetrating colon injuries, primary repair or resection and anastomosis have found an increasing role in patients with nondestructive injuries. A critical review of recent literature better defines the role of primary repair and fecal diversion for these injuries and allows for better algorithms for the management of these injuries.
PURPOSE: This study was designed to develop treatment algorithms for colon, rectal, and anal injuries based on the review of relevant literature. METHODS: Information was obtained through a MEDLINE ( www.nobi.nih.gov/entrez/query.fcgi ) search, and additional references were obtained through cross-referencing key articles cited in these papers. RESULTS: A total of 203 articles were considered relevant. CONCLUSIONS: The management of penetrating and blunt colon, rectal, and anal injuries has evolved during the past 150 years. Since the World War II mandate to divert penetrating colon injuries, primary repair or resection and anastomosis have found an increasing role in patients with nondestructive injuries. A critical review of recent literature better defines the role of primary repair and fecal diversion for these injuries and allows for better algorithms for the management of these injuries.
Authors: 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 Journal: Colomb Med (Cali) Date: 2021-04-27