A ruptured colon surgery.docVIP

 PAGE \* MERGEFORMAT 12 A ruptured colon surgery Keywords: Colon First, the characteristics of the colon contents as containing a large number of bacteria than dry manure, especially the left colon, leading to the breakdown of the colon can cause severe peritonitis; Second, the blood circulation and tissue healing ability is poor, it is prone to repair or anastomosis colon leakage. Therefore, the traditional view, the safety of surgical way to repair ruptured colon after the additional bypass colostomy stoma closure of manure and 2. In recent years, with the improvement of surgical techniques and antibiotic treatment the development of a surgical treatment has been more and more widely utilized. Our hospital from August 1995 to December 2007 patients treated 23 cases of colon rupture, of which 14 cases (60.87%) line of a repair or resection and anastomosis, no postoperative death and serious complications occurred. These are as follows. A clinical data 1.1 General Information The group of 14 cases, including 9 males and 5 females, aged 17 to 68 years (mean 37.4 years); trauma in 11 cases (8 cases of blunt trauma, sharp trauma in 3 cases), colonoscopy perforation in 2 cases, spontaneous rupture in 1 case (cause unknown). Rupture location and type: transverse penetrating wound in 1 case, transverse fracture in 1 case, transverse colon perforation in 5 cases, 2 cases of perforation of descending colon, sigmoid colon perforation in 4 cases, sigmoid colon rupture in 1 case. Associated injuries: combined small bowel injury (including small mesenteric injury) 4 cases, 3 cases of pelvic fracture, rib fractures in 4 cases, rupture of spleen in 1 case, stomach perforation in 1 case of hemorrhagic shock in 3 cases. Break away from the colon surgery symptoms time: Except for 1 case of spontaneous rupture in the onset of symptoms after the surgery 16h, the remaining patients had the onset of symptoms within 4h after the surgery. 1.2