Multiple Colonic Injuries: For Grading and Universal Management Plan


Colon: The long, coiled, tubular organ which removes water from digested food. The remaining material, solid waste called stool, moves up to the rectum through the colon and leaves the body through the anus. Often named large intestine and large intestine. Source-Source.

In civil and war situations, colon and rectum wounds arising from penetrating or blunt trauma are frequently encountered. This form of injury had been associated with substantial mortality and morbidity prior to World War II.

Wounds of the colon and rectum resulting from penetrating or blunt trauma are commonly encountered in civilian and War circumstances. Prior to the World War II, this type of injury was associated with significant mortality and morbidity [1-3]. The recommended surgical treatment for colon trauma has undergone major changes in the last decades. There are various choices for colon injuries surgical repair, but they can be grouped in two categories: primary repair (suture repair or resection and anastomosis) and diversion with colostomy formation at the time of injury.

Polytrauma and multiple trauma are medical terms that describe the condition of a person that has had multiple traumatic injuries, such as a head injury in addition to a serious burning. The word is set through an Injury Severity Score (ISS).

Civilian medicine: Polytraumas are frequently associated with motor-vehicle collisions in civilian life. This is because car accidents often happen at high speeds, causing serious injuries. Upon hospital admission, any trauma patient will be immediately treated with x-rays of their cervical spine, abdomen, and pelvis, generally known as a 'trauma sequence.'

Military medicine: polytrauma is often the result of blast injuries caused by improvised explosive devices or a rocket-propelled grenade hit, with 'Improvised explosive devices, explosions, landmines and fragments responsible for 65% of fighting injuries.

The colon is the second most frequent organ injured in penetrating abdominal trauma after the small bowel. A colon injury is involved in approximately 27 per cent of trauma cases undergoing laparotomy for GSWs with the transverse colon being the segment most frequently injured. In our study, left colon was the most commonly involved segment.

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Editorial Team