Abstract

VICENTE MEDINA, Maribel; VICENTE DE LA CRUZ, Asbel; VARGAS BORGES, Wilfredo  and  GUERRA BAZAN, Manuel. Primary suture applied in the colonic traumatic lesions. Rev Cubana Cir [online]. 2009, vol.48, n.2, pp. 0-0. ISSN 1561-2945.

INTRODUCTION: Digestive sutures always have been a concern for surgeons due to severity of possible complications. Aim of present presentation was to show feasibility of colon primary suture. METHODS: Results achieved during 14 months are presented, in which we performed 12 primary sutures in colon due to traumatic lesions. Patients were seen in two hospitals, one al provincial level and the other at national level in Yemen Republic. We took as essential data the type of trauma, the involved portion of colon, associated lesions, type of surgery in colon, the other associated or complementary surgeries, as well as antibiotic use. RESULTS: Thirty two patients were studied presenting with traumatic colonic lesions, 29 of them by firearm. Other causes were wounds by cold steel, and road accidents. A high percentage of cases needed surgery of abdominal organs or its resection. Complication rate was low (6 patients with an only dehiscence and two fistulae). There was not deceased. CONCLUSIONS: It is feasible to achieve good results using this procedure, which also avoid the so objectionable and annoying colostomy for patients, with a minimal risk for them.

Keywords : Primary suture; colon; trauma; dehiscence; complications..

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