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Updated: Jul 30, 2026
05:39
Murine Model of Wound Healing
Published on: May 28, 2013
Colon trauma: Royal Melbourne Hospital experience
Malcolm Steel1, Peter Danne, Ian Jones
1Royal Melbourne Hospital, Parkville, Victoria, Australia. janemalsteel@hotmail.com
ANZ Journal of Surgery
|May 25, 2002
Summary
Primary repair or resection and anastomosis are safe for traumatic colon injuries in Australia. This approach, supported by international studies, showed no increased complications or anastomotic leaks in urban Australian patients.
Area of Science:
- Trauma surgery
- Colorectal surgery
- Surgical outcomes
Background:
- International studies recommend primary repair or resection and anastomosis for traumatic colon injuries.
- The applicability of these recommendations in an urban Australian setting was investigated.
Purpose of the Study:
- To evaluate the safety and efficacy of primary repair or resection and primary anastomosis for traumatic colon injuries in an Australian urban setting.
Main Methods:
- A retrospective chart review was conducted.
- Data from 20 patients with colon injuries treated at the Royal Melbourne Hospital between 1989 and 1999 were analyzed.
Main Results:
- Twenty patients sustained 26 colon injuries; blunt trauma was more frequent than penetrating trauma.
- Primary repair or resection and anastomosis were performed without any anastomotic leaks or increased intra-abdominal complications.
- The overall mortality rate was 10%, with colostomies performed in four patients.
Conclusions:
- Evidence supporting primary repair or resection and primary anastomosis in large trauma centers is applicable to Australian urban settings with low rates of traumatic colon injury.
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