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Title

RECENT MANAGEMENTS OF COLORECTAL TRAUMA (REVIEW OF LITERATURE)

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Abstract

 Introduction & Objective: For all TRAUMA patients during civil or war injuries, COLORECTAL INJURIES is one of the most common challenging issues, which TRAUMA surgeon may be encountered.Materials & Methods: In this review article we discuss the main aspects and MANAGEMENT of colorectal TRAUMAtic perforation. About 56 articles have been reviewed and different trials have been discussed.Colostomy versus primary repair for colon perforation, MANAGEMENT of extraperitoneal and intraperitoneal rectal perforation are discussed, also antibiotic therapy and time of COLOSTOMY CLOSURE which are controversial has been discussed in this article.Results: Some recent papers, have considered primary repair as a suitable method except in the patients with destructive colon wound and in the presence of risk factors.These risk factors accompany with the increase of mortality and morbidity rate, but do not influence the anastomosis leakage. This factors include, shock, time interval between the injury and surgical intervention, simultaneous injury to other organs, the need to blood transfusion and other disabling diseases.Conclusions: To clarify some other aspects of colorectal TRAUMA surgery, trials and research in ambiguous subjects is recommended.

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