Primary Repair or Fecal Diversion for Colorectal Injuries After Blast: A Medical Review. Issue 3 (28th May 2014)

• Record Type: Journal Article
• Authors: Bortolin, Michelangelo; Baldari, Ludovica; Sabbadini, Maria Grazia; Roy, Nobhojit
• Is Part Of: Prehospital and disaster medicine. Volume 29:Issue 3(2014)
• Page Start: 317
• Page End: 319
• Publication Date: 2014-05-28
• Subjects: Emergency medical services -- Periodicals; Emergency medicine -- Periodicals; Disaster medicine -- Periodicals; 616.025
• DOI: 10.1017/S1049023X14000508
• Languages: English
• ISSNs: 1049-023X

Abstract

<abstract abstract-type="normal"> <title>Abstract</title> <p>Blast injury is a frequent cause of injury during armed conflicts, and the force of a blast can cause closed colorectal injury and perforation.<sup>1</sup> 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.</p> <p> <mixed-citation id="ref" publication-type="journal"> <string-name> <given-names>M</given-names> <x content-type="archive" xml:space="preserve"> </x> <surname>Bortolin</surname> </string-name>, <string-name><given-names>L</given-names><x content-type="archive" xml:space="preserve"> </x><surname>Baldari</surname></string-name>, <string-name><given-names>MG</given-names><x content-type="archive" xml:space="preserve"> </x><surname>Sabbadini</surname></string-name>, <string-name><given-names>N</given-names><x content-type="archive" xml:space="preserve"> </x><surname>Roy</surname></string-name>. <article-title>Primary repair or fecal diversion for colorectal injuries after blast: a medical review</article-title>. <source>Prehosp Disaster Med</source>. <year>2014</year>;<volume>29</volume>(<issue>3</issue>):<fpage>1</fpage>-<lpage>3</lpage>.</mixed-citation> </p> </abstract>