[Surgical tactics in gunshot wounds of the colon]

Results of treatment of 76 patients with gunshot wounds of the colon received during local military conflicts and peacetime are analyzed. The patients were hospitalized within 30-120 min since the injury moment. Clinical examination, primary surgical treatment and laparoscopy were the best diagnostic methods. This order of diagnostic methods permitted to reduce time of examination from 60-80 to 20-40 min. Resection of injured part of the colon over the limits of contusion zone with "extraabdominal partial anastomosis" creation, Hartman's or Lachey's operation were the optimal surgery. In injury of contramesenteric part of the colon it makes sense to create loop colostoma by original method. The number of intraabdominal inflammatory complications decreased from 57 to 6.9%, lethal outcomes--from 17.6 to 6.9%.