Surgical treatment for traumatic bowel injury

Authors:

Зураб Антонович Багателия,

Дмитрий Николаевич Греков,

Алексей Андреевич Карпов,

Андрей Александрович Колотильщиков,

Махир Зиядович Эминов,

Алексей Васильевич Анькин,

Михаил Валерьевич Петришин

Журнал: Хирургия. Журнал им. Н.И. Пирогова. 2026;(8):16-22.

DOI: 10.17116/hirurgia202608116

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Abstract

OBJECTIVE

To study treatment outcomes in patients with traumatic bowel injury in peacetime.

MATERIAL AND METHODS

A retrospective study involved 27 patients with traumatic bowel injury who underwent surgery at Botkin Hospital in 2016-2024. All patients were delivered to the shock room of the emergency department for initial examination. In 25 cases, we performed contrast-enhanced CT before surgery; 2 patients were sent to the operating theater immediately.

RESULTS

Primary repair of small bowel was performed in 4 patients, small bowel resection — in 12 patients, colon resection — in 8 patients. Primary anastomosis was formed in 12 cases, ileostomy/colostomy — in 11 patients. Risk factors for primary anastomosis are unstable hemodynamics requiring inotropic support; massive transfusion therapy; fecal contamination of abdominal cavity; more than 6-hour preoperative period.

CONCLUSION

Available experience, damage control surgery and necessary reconstruction of bowel continuity inspired own treatment algorithm for this category of patients to reduce morbidity and mortality.

Keywords

bowel injury
intestine trauma
colon trauma
damage control surgery

Участие авторов

Concept and design of the study — Bagatelia Z.A., Grekov D.N., Karpov A.A., Kolotilshchikov A.A.

Data collection and processing — Karpov A.A., Eminov M.Z., Ankin A.V., Petrishin M.V.

Text writing — Bagatelia Z.A., Grekov D.N., Karpov A.A., Kolotilshchikov A.A., Eminov M.Z., Ankin A.V., Petrishin M.V.

Editing — Bagatelia Z.A., Grekov D.N., Karpov A.A.

Конфликт интересов

The authors declare no conflicts of interest.

Дата поступления: 12.12.2025

Дата принятия в печать: 13.01.2026

Дата публикации: 19.08.2026

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