CR34PSTOMAS ARE STILL USED IN COLORECTAL TRAUMA
Identifieur interne : 001171 ( Istex/Corpus ); précédent : 001170; suivant : 001172CR34PSTOMAS ARE STILL USED IN COLORECTAL TRAUMA
Auteurs : T. C. Nguyen ; S. Shedda ; I. T. Jones ; R. Judson ; I. Hayes ; I. HastieSource :
- ANZ Journal of Surgery [ 1445-1433 ] ; 2009-05.
Abstract
Purpose: We aimed to assess the management of colorectal and anal injuries in trauma patients at a single major metropolitan trauma hospital in Australia. Methods: A prospectively collected database at a major metropolitan trauma centre was assessed to retrieve consecutive patients who had colorectal and anal injuries over a 12 year period. Results: 185 patients were identified with colorectal or anal injuries from February 1996 to June 2008. The mechanism of injury was blunt in 145 (78%) with 134 (72%) related to motor vehicle trauma. The remaining 40 (22%) were due to penetrating injuries. There were 165 (89%) colonic injuries, 5 (3%) rectal injuries and 15 (8%) perineal injuries. 106 (57%) patients had multiple site of colonic or multiple organ injuries. 46 (25%) patients had full thickness tear of the colon with only 2 having full transection of the colon. The rest had contusions, serosal tears or mesocolon injury. The median injury severity score was 27 (range 4–75). 134 (72%) patients had surgical intervention including 61 repairs, 30 resections and 12 stomas, 3 of which occurred in major perineal injuries. The in hospital mortality rate was 5.4% with major or minor morbidity occurring in 52%. This included 3 anastomotic leaks and 2 missed injuries requiring a second laparotomy. 12 (6%) patients were subsequently readmitted after the initial management. Conclusion: Colorectal injuries are usually due to road trauma with the majority occurring in the colon and over half these patients have multiple injuries. The complication rate is significant but relatively few of these are related to anastomotic leak when primary anastomosis is undertaken. Stomas however continue to be used.
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DOI: 10.1111/j.1445-2197.2009.04915_33.x
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Judson</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Hayes, I" sort="Hayes, I" uniqKey="Hayes I" first="I." last="Hayes">I. Hayes</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Hastie, I" sort="Hastie, I" uniqKey="Hastie I" first="I." last="Hastie">I. 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Nguyen</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Shedda, S" sort="Shedda, S" uniqKey="Shedda S" first="S." last="Shedda">S. Shedda</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Jones, I T" sort="Jones, I T" uniqKey="Jones I" first="I. T." last="Jones">I. T. Jones</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Judson, R" sort="Judson, R" uniqKey="Judson R" first="R." last="Judson">R. Judson</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Hayes, I" sort="Hayes, I" uniqKey="Hayes I" first="I." last="Hayes">I. Hayes</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Hastie, I" sort="Hastie, I" uniqKey="Hastie I" first="I." last="Hastie">I. Hastie</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">ANZ Journal of Surgery</title><idno type="ISSN">1445-1433</idno><idno type="eISSN">1445-2197</idno><imprint><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2009-05">2009-05</date><biblScope unit="volume">79</biblScope><biblScope unit="supplement">s1</biblScope><biblScope unit="page" from="A16">A16</biblScope><biblScope unit="page" to="A16">A16</biblScope></imprint><idno type="ISSN">1445-1433</idno></series><idno type="istex">40F492A3C2CF5920BDD0263AB28A8E66678127BA</idno><idno type="DOI">10.1111/j.1445-2197.2009.04915_33.x</idno><idno type="ArticleID">ANS4915_33</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1445-1433</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: We aimed to assess the management of colorectal and anal injuries in trauma patients at a single major metropolitan trauma hospital in Australia. Methods: A prospectively collected database at a major metropolitan trauma centre was assessed to retrieve consecutive patients who had colorectal and anal injuries over a 12 year period. Results: 185 patients were identified with colorectal or anal injuries from February 1996 to June 2008. The mechanism of injury was blunt in 145 (78%) with 134 (72%) related to motor vehicle trauma. The remaining 40 (22%) were due to penetrating injuries. There were 165 (89%) colonic injuries, 5 (3%) rectal injuries and 15 (8%) perineal injuries. 106 (57%) patients had multiple site of colonic or multiple organ injuries. 46 (25%) patients had full thickness tear of the colon with only 2 having full transection of the colon. The rest had contusions, serosal tears or mesocolon injury. The median injury severity score was 27 (range 4–75). 134 (72%) patients had surgical intervention including 61 repairs, 30 resections and 12 stomas, 3 of which occurred in major perineal injuries. The in hospital mortality rate was 5.4% with major or minor morbidity occurring in 52%. This included 3 anastomotic leaks and 2 missed injuries requiring a second laparotomy. 12 (6%) patients were subsequently readmitted after the initial management. Conclusion: Colorectal injuries are usually due to road trauma with the majority occurring in the colon and over half these patients have multiple injuries. The complication rate is significant but relatively few of these are related to anastomotic leak when primary anastomosis is undertaken. Stomas however continue to be used.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>T. C. Nguyen</name><affiliations><json:string>Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>S. Shedda</name><affiliations><json:string>Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>I. T. Jones</name><affiliations><json:string>Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>R. Judson</name><affiliations><json:string>Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>I. Hayes</name><affiliations><json:string>Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>I. Hastie</name><affiliations><json:string>Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item></author><articleId><json:string>ANS4915_33</json:string></articleId><language><json:string>eng</json:string></language><abstract>Purpose: We aimed to assess the management of colorectal and anal injuries in trauma patients at a single major metropolitan trauma hospital in Australia. Methods: A prospectively collected database at a major metropolitan trauma centre was assessed to retrieve consecutive patients who had colorectal and anal injuries over a 12 year period. Results: 185 patients were identified with colorectal or anal injuries from February 1996 to June 2008. The mechanism of injury was blunt in 145 (78%) with 134 (72%) related to motor vehicle trauma. The remaining 40 (22%) were due to penetrating injuries. There were 165 (89%) colonic injuries, 5 (3%) rectal injuries and 15 (8%) perineal injuries. 106 (57%) patients had multiple site of colonic or multiple organ injuries. 46 (25%) patients had full thickness tear of the colon with only 2 having full transection of the colon. The rest had contusions, serosal tears or mesocolon injury. The median injury severity score was 27 (range 4–75). 134 (72%) patients had surgical intervention including 61 repairs, 30 resections and 12 stomas, 3 of which occurred in major perineal injuries. The in hospital mortality rate was 5.4% with major or minor morbidity occurring in 52%. This included 3 anastomotic leaks and 2 missed injuries requiring a second laparotomy. 12 (6%) patients were subsequently readmitted after the initial management. Conclusion: Colorectal injuries are usually due to road trauma with the majority occurring in the colon and over half these patients have multiple injuries. The complication rate is significant but relatively few of these are related to anastomotic leak when primary anastomosis is undertaken. 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T.</forename><surname>Jones</surname></persName><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation></author><author><persName><forename type="first">R.</forename><surname>Judson</surname></persName><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation></author><author><persName><forename type="first">I.</forename><surname>Hayes</surname></persName><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation></author><author><persName><forename type="first">I.</forename><surname>Hastie</surname></persName><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation></author></analytic><monogr><title level="j">ANZ Journal of Surgery</title><idno type="pISSN">1445-1433</idno><idno type="eISSN">1445-2197</idno><idno type="DOI">10.1111/(ISSN)1445-2197</idno><imprint><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2009-05"></date><biblScope unit="volume">79</biblScope><biblScope unit="supplement">s1</biblScope><biblScope unit="page" from="A16">A16</biblScope><biblScope unit="page" to="A16">A16</biblScope></imprint></monogr><idno type="istex">40F492A3C2CF5920BDD0263AB28A8E66678127BA</idno><idno type="DOI">10.1111/j.1445-2197.2009.04915_33.x</idno><idno type="ArticleID">ANS4915_33</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2009</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Purpose: We aimed to assess the management of colorectal and anal injuries in trauma patients at a single major metropolitan trauma hospital in Australia. Methods: A prospectively collected database at a major metropolitan trauma centre was assessed to retrieve consecutive patients who had colorectal and anal injuries over a 12 year period. Results: 185 patients were identified with colorectal or anal injuries from February 1996 to June 2008. The mechanism of injury was blunt in 145 (78%) with 134 (72%) related to motor vehicle trauma. The remaining 40 (22%) were due to penetrating injuries. There were 165 (89%) colonic injuries, 5 (3%) rectal injuries and 15 (8%) perineal injuries. 106 (57%) patients had multiple site of colonic or multiple organ injuries. 46 (25%) patients had full thickness tear of the colon with only 2 having full transection of the colon. The rest had contusions, serosal tears or mesocolon injury. The median injury severity score was 27 (range 4–75). 134 (72%) patients had surgical intervention including 61 repairs, 30 resections and 12 stomas, 3 of which occurred in major perineal injuries. The in hospital mortality rate was 5.4% with major or minor morbidity occurring in 52%. This included 3 anastomotic leaks and 2 missed injuries requiring a second laparotomy. 12 (6%) patients were subsequently readmitted after the initial management. Conclusion: Colorectal injuries are usually due to road trauma with the majority occurring in the colon and over half these patients have multiple injuries. The complication rate is significant but relatively few of these are related to anastomotic leak when primary anastomosis is undertaken. Stomas however continue to be used.</p></abstract></profileDesc><revisionDesc><change when="2009-05">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/40F492A3C2CF5920BDD0263AB28A8E66678127BA/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley component found"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Asia</publisherName><publisherLoc>Melbourne, Australia</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1445-2197</doi><issn type="print">1445-1433</issn><issn type="electronic">1445-2197</issn><idGroup><id type="product" value="ANS"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="ANZ JOURNAL SURGERY">ANZ Journal of Surgery</title></titleGroup></publicationMeta><publicationMeta level="part" position="05000"><doi origin="wiley">10.1111/ans.2009.79.issue-s1</doi><titleGroup><title type="specialIssueTitle">Abstracts of the Royal Australasian College of Surgeons Annual Scientific Congress, 6–9 May 2009, Brisbane, Queensland, Australia</title></titleGroup><numberingGroup><numbering type="journalVolume" number="79">79</numbering><numbering type="supplement">s1</numbering></numberingGroup><coverDate startDate="2009-05">May 2009</coverDate></publicationMeta><publicationMeta level="unit" type="abstract" position="064" status="forIssue"><doi origin="wiley">10.1111/j.1445-2197.2009.04915_33.x</doi><idGroup><id type="unit" value="ANS4915_33"></id></idGroup><countGroup><count type="pageTotal" number="1"></count></countGroup><titleGroup><title type="tocHeading1">Royal Australasian College of Surgeons Annual Scientific Congress, 6–9 May 2009, Brisbane, Queensland, Australia. Conference Abstracts
Colorectal Surgery Program Abstracts</title></titleGroup><copyright>Journal compilation © 2009 The Royal Australasian College of Surgeons</copyright><eventGroup><event type="firstOnline" date="2009-04-27"></event><event type="publishedOnlineFinalForm" date="2009-04-27"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:Header result:Header" date="2010-03-13"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-04"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-14"></event></eventGroup><numberingGroup><numbering type="pageFirst">A16</numbering><numbering type="pageLast">A16</numbering></numberingGroup><linkGroup><link type="toTypesetVersion" href="file:ANS.ANS4915_33.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="0"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="0"></count><count type="wordTotal" number="5149"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">CR34P
STOMAS ARE STILL USED IN COLORECTAL TRAUMA</title><title type="shortAuthors"><i>RACS Annual Scientific Congress</i>, 2009</title><title type="short"><i>ANZ J. Surg.</i> 2009; 79 (Suppl. 1)</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#aff-1-1"><personName><givenNames>T. C.</givenNames><familyName>Nguyen</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#aff-1-1"><personName><givenNames>S.</givenNames><familyName>Shedda</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#aff-1-1"><personName><givenNames>I. T.</givenNames><familyName>Jones</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#aff-1-1"><personName><givenNames>R.</givenNames><familyName>Judson</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#aff-1-1"><personName><givenNames>I.</givenNames><familyName>Hayes</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#aff-1-1"><personName><givenNames>I.</givenNames><familyName>Hastie</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="aff-1-1"><unparsedAffiliation>Royal Melbourne Hospital, Melbourne, Victoria</unparsedAffiliation></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Purpose: </b> We aimed to assess the management of colorectal and anal injuries in trauma patients at a single major metropolitan trauma hospital in Australia.</p><p><b>Methods: </b> A prospectively collected database at a major metropolitan trauma centre was assessed to retrieve consecutive patients who had colorectal and anal injuries over a 12 year period.</p><p><b>Results: </b> 185 patients were identified with colorectal or anal injuries from February 1996 to June 2008. The mechanism of injury was blunt in 145 (78%) with 134 (72%) related to motor vehicle trauma. The remaining 40 (22%) were due to penetrating injuries. There were 165 (89%) colonic injuries, 5 (3%) rectal injuries and 15 (8%) perineal injuries. 106 (57%) patients had multiple site of colonic or multiple organ injuries. 46 (25%) patients had full thickness tear of the colon with only 2 having full transection of the colon. The rest had contusions, serosal tears or mesocolon injury. The median injury severity score was 27 (range 4–75). 134 (72%) patients had surgical intervention including 61 repairs, 30 resections and 12 stomas, 3 of which occurred in major perineal injuries. The in hospital mortality rate was 5.4% with major or minor morbidity occurring in 52%. This included 3 anastomotic leaks and 2 missed injuries requiring a second laparotomy. 12 (6%) patients were subsequently readmitted after the initial management.</p><p><b>Conclusion: </b> Colorectal injuries are usually due to road trauma with the majority occurring in the colon and over half these patients have multiple injuries. The complication rate is significant but relatively few of these are related to anastomotic leak when primary anastomosis is undertaken. Stomas however continue to be used.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>CR34PSTOMAS ARE STILL USED IN COLORECTAL TRAUMA</title></titleInfo><titleInfo type="abbreviated"><title>ANZ J. Surg. 2009; 79 (Suppl. 1)</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>CR34P
STOMAS ARE STILL USED IN COLORECTAL TRAUMA</title></titleInfo><name type="personal"><namePart type="given">T. C.</namePart><namePart type="family">Nguyen</namePart><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Shedda</namePart><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I. T.</namePart><namePart type="family">Jones</namePart><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R.</namePart><namePart type="family">Judson</namePart><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I.</namePart><namePart type="family">Hayes</namePart><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I.</namePart><namePart type="family">Hastie</namePart><affiliation>Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="abstract" displayLabel="abstract"></genre><originInfo><publisher>Blackwell Publishing Asia</publisher><place><placeTerm type="text">Melbourne, Australia</placeTerm></place><dateIssued encoding="w3cdtf">2009-05</dateIssued><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="words">5149</extent></physicalDescription><abstract lang="en">Purpose: We aimed to assess the management of colorectal and anal injuries in trauma patients at a single major metropolitan trauma hospital in Australia. Methods: A prospectively collected database at a major metropolitan trauma centre was assessed to retrieve consecutive patients who had colorectal and anal injuries over a 12 year period. Results: 185 patients were identified with colorectal or anal injuries from February 1996 to June 2008. The mechanism of injury was blunt in 145 (78%) with 134 (72%) related to motor vehicle trauma. The remaining 40 (22%) were due to penetrating injuries. There were 165 (89%) colonic injuries, 5 (3%) rectal injuries and 15 (8%) perineal injuries. 106 (57%) patients had multiple site of colonic or multiple organ injuries. 46 (25%) patients had full thickness tear of the colon with only 2 having full transection of the colon. The rest had contusions, serosal tears or mesocolon injury. The median injury severity score was 27 (range 4–75). 134 (72%) patients had surgical intervention including 61 repairs, 30 resections and 12 stomas, 3 of which occurred in major perineal injuries. The in hospital mortality rate was 5.4% with major or minor morbidity occurring in 52%. This included 3 anastomotic leaks and 2 missed injuries requiring a second laparotomy. 12 (6%) patients were subsequently readmitted after the initial management. Conclusion: Colorectal injuries are usually due to road trauma with the majority occurring in the colon and over half these patients have multiple injuries. The complication rate is significant but relatively few of these are related to anastomotic leak when primary anastomosis is undertaken. Stomas however continue to be used.</abstract><relatedItem type="host"><titleInfo><title>ANZ Journal of Surgery</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">1445-1433</identifier><identifier type="eISSN">1445-2197</identifier><identifier type="DOI">10.1111/(ISSN)1445-2197</identifier><identifier type="PublisherID">ANS</identifier><part><date>2009</date><detail type="title"><title>Abstracts of the Royal Australasian College of Surgeons Annual Scientific Congress, 6–9 May 2009, Brisbane, Queensland, Australia</title></detail><detail type="volume"><caption>vol.</caption><number>79</number></detail><detail type="supplement"><caption>Suppl. no.</caption><number>s1</number></detail><extent unit="pages"><start>A16</start><end>A16</end><total>1</total></extent></part></relatedItem><identifier type="istex">40F492A3C2CF5920BDD0263AB28A8E66678127BA</identifier><identifier type="DOI">10.1111/j.1445-2197.2009.04915_33.x</identifier><identifier type="ArticleID">ANS4915_33</identifier><accessCondition type="use and reproduction" contentType="copyright">Journal compilation © 2009 The Royal Australasian College of Surgeons</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Asia</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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|clé= ISTEX:40F492A3C2CF5920BDD0263AB28A8E66678127BA
|texte= CR34PSTOMAS ARE STILL USED IN COLORECTAL TRAUMA
}}
| This area was generated with Dilib version V0.6.32. |  |