RESULTS OF SURGICAL TREATMENT OF FIRE WOUNDS OF COLON

  • K. V. Gumeniuk
  • I. P. Marcinkovsky
  • G. L. Bogush
  • V. G. Verdesh
Keywords: colorectal injury, combat trauma, penetrating gunshot wound, diagnosis, surgical treatment, colon.

Abstract

The aim of the study. Evaluate the results of surgical treatment of wounded with gunshot wounds of the colon.

Materials and methods of research. A retrospective analysis of the results of surgical treatment of 32 wounded with gunshot wounds of the colon, who were treated in the Central Medical Center and area of responsibility (II–IV level of medical care) from 2014 to 2017. Damage to the right half of the colon was observed in 12 wounded (37.4 %), the left half — in 17 (53.2 %), the rectum — in 3 (9.4 %). A differentiated approach to surgical treatment of colon injuries of different localization is applied.

Results and discussion. The method of multi-stage surgical treatment “Damage Control Surgery” was used in 12.5 % of patients. The most common complications of the injury were adhesive intestinal obstruction in 6.3 % of cases, the formation of intestinal abscesses — in 6.3 %, the development of post-traumatic pneumonia in 25 % of patients.

Conclusions. If the tactics of “Damage Control Surgery” are followed, it is possible to improve the results of surgical treatment of colon injuries in severe and extremely severe patients.

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Published
2021-12-08
How to Cite
Gumeniuk, K. V., Marcinkovsky, I. P., Bogush, G. L., & Verdesh, V. G. (2021). RESULTS OF SURGICAL TREATMENT OF FIRE WOUNDS OF COLON. Kharkiv Surgical School, (5-6), 52-56. https://doi.org/10.37699/2308-7005.5-6.2021.11
Section
SURGERY OF GUNSHOT WOUNDS AND COMBAT TRAUMA