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Revista Cubana de Cirugía

Print version ISSN 0034-7493On-line version ISSN 1561-2945


PINILLA GONZALEZ, Rafael Orlando; MORALES MARTINEZ, Nikkinpaler Amos  and  GUTIERREZ GARCIA, Francisco. Therapeutic Results in patients with Colon and Rectal Traumas Treated with Primary Suture or Colostomy. Rev Cubana Cir [online]. 2019, vol.58, n.2, e766.  Epub June 01, 2019. ISSN 0034-7493.


Abdominal trauma presents high incidence and often affects the colon and rectum; primary suture is the preferred treatment.


To identify differences between the clinical-surgical characteristics and the therapeutic outcomes in patients with traumatic lesions of the colon and rectum, treated with primary suture and derivative techniques.


A multicentric, descriptive and ambispective study was carried out to determine the clinical-surgical characteristics and the therapeutic outcomes in patients with traumatic colon and rectal lesions in Carlos J. Finlay, Joaquín Albarrán, Calixto García and Enrique Cabrera Hospitals in Havana, in the period from 2010 to 2015. The study population was made up of all patients surgically intervened for colon and/or rectal trauma.


The colostomy was the most frequent procedure (53.1%). Patients in middle ages of life (average: 43.5 years), male sex (71.4%), evolution to surgical treatment under 12 hours (73.4%); caused by impalement and others (49%) and cutting wounds (38.8%). The magnitude of colon and rectum damage was low, with greater involvement of the left colon. The frequency of serious complications and mortality was high in the colostomy.


Primary suture shows better therapeutic results and should be the technique of choice in traumatic lesions of the intraperitoneal colon and rectum.

Keywords : colon trauma; rectum trauma; primary suture; colostomy.

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