Primary repair or fecal diversion for colorectal injuries after blast: A medical review

Michelangelo Bortolin, Ludovica Baldari, Maria Grazia Sabbadini, Nobhojit Roy

Research output: Contribution to journalArticle

Abstract

Blast injury is a frequent cause of injury during armed conflicts, and the force of a blast can cause closed colorectal injury and perforation.1 After identification of a blast-related colorectal injury, the surgical options are primary repair or fecal diversion with the option for secondary repair. This structured review was conducted to determine which patients could be treated with primary repair (PR) or with fecal diversion. The review method followed the Prisma Statement method for medical systematic review. All data from the relevant articles were collected in a single database. Articles took into account wars in Bosnia, Iraq and Afghanistan from January 1993 through November 2012. The review was limited due to lack of reported data, hence qualitative analysis was the main review method. The review showed that for patients who do not have associated intra-abdominal injuries (diaphragm, stomach, pancreas, spleen, or kidney) or hemodynamic instability, PR did not result in an increase of complications or mortality.

Original languageEnglish
Pages (from-to)317-319
Number of pages3
JournalPrehospital and Disaster Medicine
Volume29
Issue number3
DOIs
Publication statusPublished - 2014

Fingerprint

Blast Injuries
Bosnia and Herzegovina
Afghanistan
Abdominal Injuries
Iraq
Intraoperative Complications
Wounds and Injuries
Diaphragm
Pancreas
Stomach
Spleen
Hemodynamics
Databases
Kidney
Mortality

Keywords

  • blast
  • colorectal wounds
  • disaster medicine
  • primary repair

ASJC Scopus subject areas

  • Emergency
  • Emergency Medicine

Cite this

Primary repair or fecal diversion for colorectal injuries after blast : A medical review. / Bortolin, Michelangelo; Baldari, Ludovica; Sabbadini, Maria Grazia; Roy, Nobhojit.

In: Prehospital and Disaster Medicine, Vol. 29, No. 3, 2014, p. 317-319.

Research output: Contribution to journalArticle

Bortolin, Michelangelo ; Baldari, Ludovica ; Sabbadini, Maria Grazia ; Roy, Nobhojit. / Primary repair or fecal diversion for colorectal injuries after blast : A medical review. In: Prehospital and Disaster Medicine. 2014 ; Vol. 29, No. 3. pp. 317-319.
@article{8b3b8fc65d6d43d5a5db1fed08f0b983,
title = "Primary repair or fecal diversion for colorectal injuries after blast: A medical review",
abstract = "Blast injury is a frequent cause of injury during armed conflicts, and the force of a blast can cause closed colorectal injury and perforation.1 After identification of a blast-related colorectal injury, the surgical options are primary repair or fecal diversion with the option for secondary repair. This structured review was conducted to determine which patients could be treated with primary repair (PR) or with fecal diversion. The review method followed the Prisma Statement method for medical systematic review. All data from the relevant articles were collected in a single database. Articles took into account wars in Bosnia, Iraq and Afghanistan from January 1993 through November 2012. The review was limited due to lack of reported data, hence qualitative analysis was the main review method. The review showed that for patients who do not have associated intra-abdominal injuries (diaphragm, stomach, pancreas, spleen, or kidney) or hemodynamic instability, PR did not result in an increase of complications or mortality.",
keywords = "blast, colorectal wounds, disaster medicine, primary repair",
author = "Michelangelo Bortolin and Ludovica Baldari and Sabbadini, {Maria Grazia} and Nobhojit Roy",
year = "2014",
doi = "10.1017/S1049023X14000508",
language = "English",
volume = "29",
pages = "317--319",
journal = "Prehospital and Disaster Medicine",
issn = "1049-023X",
publisher = "World Association for Disaster and Emergency Medicine",
number = "3",

}

TY - JOUR

T1 - Primary repair or fecal diversion for colorectal injuries after blast

T2 - A medical review

AU - Bortolin, Michelangelo

AU - Baldari, Ludovica

AU - Sabbadini, Maria Grazia

AU - Roy, Nobhojit

PY - 2014

Y1 - 2014

N2 - Blast injury is a frequent cause of injury during armed conflicts, and the force of a blast can cause closed colorectal injury and perforation.1 After identification of a blast-related colorectal injury, the surgical options are primary repair or fecal diversion with the option for secondary repair. This structured review was conducted to determine which patients could be treated with primary repair (PR) or with fecal diversion. The review method followed the Prisma Statement method for medical systematic review. All data from the relevant articles were collected in a single database. Articles took into account wars in Bosnia, Iraq and Afghanistan from January 1993 through November 2012. The review was limited due to lack of reported data, hence qualitative analysis was the main review method. The review showed that for patients who do not have associated intra-abdominal injuries (diaphragm, stomach, pancreas, spleen, or kidney) or hemodynamic instability, PR did not result in an increase of complications or mortality.

AB - Blast injury is a frequent cause of injury during armed conflicts, and the force of a blast can cause closed colorectal injury and perforation.1 After identification of a blast-related colorectal injury, the surgical options are primary repair or fecal diversion with the option for secondary repair. This structured review was conducted to determine which patients could be treated with primary repair (PR) or with fecal diversion. The review method followed the Prisma Statement method for medical systematic review. All data from the relevant articles were collected in a single database. Articles took into account wars in Bosnia, Iraq and Afghanistan from January 1993 through November 2012. The review was limited due to lack of reported data, hence qualitative analysis was the main review method. The review showed that for patients who do not have associated intra-abdominal injuries (diaphragm, stomach, pancreas, spleen, or kidney) or hemodynamic instability, PR did not result in an increase of complications or mortality.

KW - blast

KW - colorectal wounds

KW - disaster medicine

KW - primary repair

UR - http://www.scopus.com/inward/record.url?scp=84907200558&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84907200558&partnerID=8YFLogxK

U2 - 10.1017/S1049023X14000508

DO - 10.1017/S1049023X14000508

M3 - Article

C2 - 24870213

AN - SCOPUS:84907200558

VL - 29

SP - 317

EP - 319

JO - Prehospital and Disaster Medicine

JF - Prehospital and Disaster Medicine

SN - 1049-023X

IS - 3

ER -