This journal only 2008, Number 3 Rev Mex Cir Endoscop 2008; 9 (3) Is the hand assisted laparoscopy a safe option in closure trauma of colon? A case report and literature review Hernández VFX, Cosme RC, Guerrero GVH, Belmonte MC Full text How to cite this article Language: Spanish References: 18 Page: 139-142 PDF size: 150.07 Kb. Key words: Colon trauma, hand assisted laparoscopic surgery (HALS). ABSTRACT The management of colon trauma is still controversial although the changes in the approach since World War II where derivative surgery was imperative, to resection and primary repair. At this moment there are established guides for the approach and management of colon trauma. The colon is the second most frequently injured organ after penetrating abdominal trauma, but is involved in less than 5% of blunt trauma patients. In trauma Hand assisted laparoscopic surgery (HALS) offers all the advantages of open surgery as tactile sensation and proprioception of the abdominal cavity, reducing the number of false negatives. We present the case of a 24 years old male, who suffered a blunt trauma secondary to a car accident, presenting sigmoid colon trauma with a II in the AIS scale and without other organ injury. The patient was taken to the operating room where we did resection and primary repair. We describe the surgical management and discuss the role of HALS at this moment in colon trauma. REFERENCES Woo K et al. Adapting to the changing paradigm of management of colon injuries. Am J Surg 2007; 194: 746-750. Fealk M et al. The conundrum of traumatic colon injury. Am J Surg 2004; 188: 663-670. Burch JM, Martin RR, Richardson RJ et al. Evolution of the treatment of the injured colon in the 1980’s. Arch Surg 1991; 126: 979-984. Feliciano DV, Mattox KL, Moore EE. Trauma. 6th edition. McGraw-Hill 2008; 36: 721-735. Martel G, Boushey RP. Laparoscopic colon surgery: Past, present and future. Surg Clin N Am 2006; 86: 867-897. Saribeyoglu K et al. Laparoscopy offers diagnosis and treatment in abdominal stab injuries. Surg Laparosc Endosc Percutan Tech 2007; 17: 396-401. Kamwendo NY, Modivba MC, Matal NS et al. Randomized clinical trial to determine if delay from time of penetrating colonic injury precludes primary repair. Br J Surg 2002; 89: 993. Miller PR, Fabian TC, Croce MA et al. Improving outcomes following penetrating colon wounds: application of a clinical pathway. Ann Surg 2002; 235: 775-781. Chappius CW, Frey DJ, Dietzen CD et al. Management of penetrating colon injuries: a prospective randomized trial. Ann Surg 1991; 213: 492-497. Stone HH, Fabian TC. Management of perforating colon trauma: randomization between primary closure and exteriorization. Ann Surg 1979; 190: 430-433. Demetriades D, Murray JA, Chan L et al. Penetrating colon injuries requiring resection: diversion or primary anastomosis? An AAST prospective multicenter study. J Trauma 2001; 50: 765-775. Fabiani P, Iannelli A, Mazza D et al. Diagnostic and therapeutic laparoscopy for stab wounds of the anterior abdomen. J Laparoendosc Adv Surg Tech A 2003; 13: 309-312. González RP, Merlotti GJ, Holevar MR. Colostomy in penetrating colon injury: Is it necessary? J Trauma 1996; 41: 271. González RP, Falimirski ME, Holevar MR. Further evaluation of colostomy in penetrating colon injury. Am Surg 1999; 56: 342-346. Williams MD, Fakhry S. Colon injury after blunt abdominal trauma: Results of the EAST multi-institutional hollow viscus injury study. J Trauma 2003; 55: 906-912. Zheng YX, Chen L, Tao SF, Song P, Xu SM. Diagnosis and management of colonic injuries following blunt trauma. World J Gastroenterol 2007; 13: 633-936. Chelly MR, Major K, Spivak J, Hui T, Hiatt JR, Margulies DR. The value of laparoscopy in management of abdominal trauma. Am Surg 2003; 69: 957-960. Mitra B et al. Management of haemodynamically stable patients with abdominal stab wounds. Emergency Medicine Australasia 2007; 19: 269-275.