잠시만 기다려 주세요. 로딩중입니다.

Management of Colorectal Trauma

대한대장항문학회지 2011년 27권 4호 p.166 ~ 172
최원준,
소속 상세정보
최원준 ( Choi Won-Jun ) - Konyang University College of Medicine Department of Surgery

Abstract


Although the treatment strategy for colorectal trauma has advanced during the last part of the twentieth century and the result has improved, compared to other injuries, problems, such as high septic complication rates and mortality rates, still exist, so standard management for colorectal trauma is still a controversial issue. For that reason, we designed this article to address current recommendations for management of colorectal injuries based on a review of literature. According to the reviewed data, although sufficient evidence exists for primary repair being the treatment of choice in most cases of nondestructive colon injuries, many surgeons are still concerned about anastomotic leakage or failure, and prefer to perform a diverting colostomy. Recently, some reports have shown that primary repair or resection and anastomosis, is better than a diverting colostomy even in cases of destructive colon injuries, but it has not fully established as the standard treatment. The same guideline as that for colonic injury is applied in cases of intraperitoneal rectal injuries, and, diversion, primary repair, and presacral drainage are regarded as the standards for the management of extraperitoneal rectal injuries. However, some reports state that primary repair without a diverting colostomy has benefit in the treatment of extraperitoneal rectal injury, and presacral drainage is still controversial. In conclusion, ideally an individual management strategy would be developed for each patient suffering from colorectal injury. To do this, an evidence-based treatment plan should be carefully developed.

키워드

Abdominal injuries;Wounds;nonpenetrating;Wounds;penetrating;Colorectal surgery;Colostomy

원문 및 링크아웃 정보

  

등재저널 정보

KCI
KoreaMed
KAMS