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Aliev S.A.

Azerbaijan Medical University

Aliev É.S.

Azerbaijan Medical University

Surgical approach for colon perforation and traumatic ruptures at the multifield hospital

Authors:

Aliev S.A., Aliev É.S.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(12): 63‑71

DOI: 10.17116/hirurgia202112163

Read: 8771 times

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Table of contents

SURGICAL APPROACH FOR COLON PERFORATION AND TRAUMATIC RUPTURES AT THE MULTIFIELD HOSPITAL
SURGICAL APPROACH FOR COLON PERFORATION AND TRAUMATIC RUPTURES AT THE MULTIFIELD HOSPITAL

To cite this article:

Aliev SA, Aliev ÉS. Surgical approach for colon perforation and traumatic ruptures at the multifield hospital. Pirogov Russian Journal of Surgery. 2021;(12):63‑71. (In Russ.)
https://doi.org/10.17116/hirurgia202112163

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze postoperative outcomes in patients with colon perforation and traumatic ruptures at the multifield hospital.

MATERIAL AND METHODS/

The study included 93 patients aged 24—85 years with colon perforation and traumatic ruptures. All patients were divided into 3 groups depending on the cause of colon perforation: group 1 — 43 (46.2%) patients with colon cancer, group 2 — 27 (29%) patients with ulcerative colitis, group 3 — 22 (23.6%) patients with traumatic ruptures following blunt abdominal trauma. Cause of colon perforation was unclear in 1 (1.1%) case. Diagnostic algorithm included routine clinical and laboratory methods and modern minimally invasive endoscopic surgical technologies (ultrasound, CT, MRI, colonoscopy, laparoscopy).

RESULTS/

Ninety (96.8%) out of 93 patients with colon perforation underwent surgery. Postoperative mortality was 41.5%, 46.1% and 31.8% in all groups, respectively. Overall postoperative mortality was 40%.

CONCLUSION

Bowel resection with colostomy is preferred for colon perforation regardless the cause of injury because this procedure ensures the best immediate results. Palliative suturing of perforations with colostomy or delivering the affected colon segment on anterior abdominal wall are accompanied by high mortality and should be used for strict indications in severely ill patients.

Keywords:

colon perforation
colon cancer
ulcerative colitis
traumatic rupture of the colon
surgical strategy
suturing
colostomy
hemicolectomy
colectomy
mortality

Authors:

Aliev S.A.

Azerbaijan Medical University

Aliev É.S.

Azerbaijan Medical University

Received:

10.02.2021

Accepted:

17.03.2021

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