Document Detail


Primary Repair or Fecal Diversion for Colorectal Injuries After Blast: A Medical Review.
MedLine Citation:
PMID:  24870213     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Blast injury is a frequent cause of injury during armed conflicts, and the force of a blast can cause closed colorectal injury and perforation.1 After identification of a blast-related colorectal injury, the surgical options are primary repair or fecal diversion with the option for secondary repair. This structured review was conducted to determine which patients could be treated with primary repair (PR) or with fecal diversion. The review method followed the Prisma Statement method for medical systematic review. All data from the relevant articles were collected in a single database. Articles took into account wars in Bosnia, Iraq and Afghanistan from January 1993 through November 2012. The review was limited due to lack of reported data, hence qualitative analysis was the main review method. The review showed that for patients who do not have associated intra-abdominal injuries (diaphragm, stomach, pancreas, spleen, or kidney) or hemodynamic instability, PR did not result in an increase of complications or mortality. Bortolin M , Baldari L , Sabbadini MG , Roy N . Primary repair or fecal diversion for colorectal injuries after blast: a medical review. Prehosp Disaster Med. 2014;29(3):1-3.
Authors:
Michelangelo Bortolin; Ludovica Baldari; Maria Grazia Sabbadini; Nobhojit Roy
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-5-28
Journal Detail:
Title:  Prehospital and disaster medicine     Volume:  -     ISSN:  1049-023X     ISO Abbreviation:  Prehosp Disaster Med     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-5-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8918173     Medline TA:  Prehosp Disaster Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-3     Citation Subset:  -    
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