Primary Repair or Fecal Diversion for Colorectal Injuries After Blast: A Medical Review

Blast injury is a frequent cause of injury during armed conflicts, and the force of a blast can cause closed colorectal injury and perforation.1 After identification of a blast-related colorectal injury, the surgical options are primary repair or fecal diversion with the option for secondary repair....

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Bibliographic Details
Published in:Prehospital and disaster medicine 2014-06, Vol.29 (3), p.317-319
Main Authors: Bortolin, Michelangelo, Baldari, Ludovica, Sabbadini, Maria Grazia, Roy, Nobhojit
Format: Article
Language:English
Subjects:
Abdominal Injuries - epidemiology
Abdominal Injuries - etiology
Abdominal Injuries - surgery
Adult
Afghan Campaign 2001
Afghanistan - epidemiology
Blast Injuries - complications
Blast Injuries - epidemiology
Blast Injuries - surgery
Bosnia and Herzegovina - epidemiology
Colon - injuries
Colorectal surgery
Colostomy - statistics & numerical data
Explosions
Female
Health technology assessment
Humans
Injuries
Iraq - epidemiology
Iraq War, 2003-2011
Male
Medicin och hälsovetenskap
Military Personnel - statistics & numerical data
Qualitative analysis
Special Report
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Summary:Blast injury is a frequent cause of injury during armed conflicts, and the force of a blast can cause closed colorectal injury and perforation.1 After identification of a blast-related colorectal injury, the surgical options are primary repair or fecal diversion with the option for secondary repair. This structured review was conducted to determine which patients could be treated with primary repair (PR) or with fecal diversion. The review method followed the Prisma Statement method for medical systematic review. All data from the relevant articles were collected in a single database. Articles took into account wars in Bosnia, Iraq and Afghanistan from January 1993 through November 2012. The review was limited due to lack of reported data, hence qualitative analysis was the main review method. The review showed that for patients who do not have associated intra-abdominal injuries (diaphragm, stomach, pancreas, spleen, or kidney) or hemodynamic instability, PR did not result in an increase of complications or mortality. Bortolin M , Baldari L , Sabbadini MG , Roy N . Primary repair or fecal diversion for colorectal injuries after blast: a medical review. Prehosp Disaster Med. 2014;29(3):1-3.
ISSN:1049-023X
1945-1938
DOI:10.1017/S1049023X14000508