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Journal Article
|Research

Wartime Colon Injuries: Primary Repair or Colostomy?

Moreels R, Pont M, Ean S, Vitharit M, Vuthy C, Roy S, Boelaert M
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Wartime Colon Injuries: Primary Repair or Colostomy? | Journal Article / Research | MSF Science Portal
Abstract
A retrospective non-randomized study, comparing primary repair with colostomy, was made on a series of 102 patients with penetrating intraperitoneal colon injuries, in a war surgery programme in Cambodia. The overall case fatality rate (CFR) was 25.5%, whereas in the primary repair group CFR was 20%, compared to 30.8% in the colostomy group. The difference was not statistically significant (P = 0.30). Adjustment for possible confounding factors in the two groups did not alter the results. Considering the numerous advantages to the patient of a primary closure in the precarious situations where war surgery is often performed, this technique merits consideration.

Countries

Cambodia

Languages

English
Published Date
01 May 1994
PubMed ID
8207721
Journal
Journal of the Royal Society of Medicine