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ISSN 1665-2576 (Print)

2016, Number 4

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Rev Mex Cir Endoscop 2016; 17 (4)

Treatment of colon perforation after abdominal trauma by minimal access surgery

Trejo-Ávila ME, Blas-Franco M, Juárez-Salazar D, Valenzuela-Salazar C, Arce-Liévano E, Romero-Loera LS

Language: Spanish
References: 17
Page: 179-183
PDF size: 199.31 Kb.


ABSTRACT

Introduction: Traditionaly penetrating abdominal injuries are managed through open exploratory laparotomy. Colon perforations after abdominal trauma can be safe repaired with good results using a laparoscopic approach. The objective of the present study is to review the cases of abdominal trauma with colon perforation treated through a laparoscopic approach in our hospital. Material and methods: This is a retrospective observational study, that includes those patients with colon perforation after abdominal trauma that were treated through a laparoscopic surgical approach in our hospital, from July 2013 to January 2016. Results: We report 7 patients with trauma involving colon perforation that underwent a laparoscopic surgical intervention. All of them where repaired with a primary closure. Transoperative colonoscopy was performed in three of these patients corroborating succesful closure of the colonic injury. The operating time average was 102.8 minutes (60-150), bleeding 100 mL (50-350), oral intake 1.7 days (1-3) a hospital stay range of 3.8 days (2-5). No conversions to open surgery, no reinterventions or deceased were reported. Conclusions: It is possible to perform a proper diagnosis and treatment of colon perforations after abdominal trauma with the well known benefits of the laparoscopic approach in our patients.


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