[Clinical and experimental bases of the algorithm of treatment in colon injuries]

The results of a retrospective analysis of treatment of 1106 patients with injuries of the colon in peace and war time as well as experimental investigations in 160 dogs have shown the lethality and amount of complications to depend on the size, amount and localization of the colon injuries, trauma shock degree, volume of blood loss, severity of concomitant injuries, the presence and phase of peritonitis by the moment of operation and on the method of treatment. The extension of the operation volume and putting the injured part out onto the anterior abdominal wall are most frequently followed by complications and higher lethality. The one-row precision sero-muscular-submucous interrupted intestinal sutures as well as the early peritoneal sorption with liquid colloid sorbents give better results of the surgical treatment. A classification and algorithm of the surgeon's actions for wounds of the colon are proposed.