Cierre primario en el trauma penetrante de colon

Abstract

Introducción: Los traumatismos penetrantes de colon son originados por violencia ciudadana en más del 95% de los casos. Entre las opciones de tratamiento se encuentran la colostomía o, más recientemente, el cierre primario de la herida. La colostomía implica trastornos psico-sociales y laborales para el paciente así como la necesidad de una segunda intervención para reconstruir el tránsito intestinal. Objetivos: 1. Evaluar el cierre primario como alternativa a la colostomía en las heridas penetrantes de colon. 2. Elaborar un algoritmo terapéutico para este procedimiento. SUMMARY: Introduction: More than 95 % of penetrating colon wounds have their origin in civil violence. Between the options of treatment there is the accomplishment of a colostomy or, a more recient procedure, the primary repair. Colostomy implies psico-social and labor disorers for the patient as well as the need of a second intervention to reverse the intestinal tract. Objectives: 1. to evaluate the primary repair as an aternative to colostomy in penetrating colon wounds. 2. to elaborate a therapeutic algorithm for this procedure.

SUMMARY: Introduction: More than 95 % of penetrating colon wounds have their origin in civil violence. Between the options of treatment there is the accomplishment of a colostomy or, a more recient procedure, the primary repair. Colostomy implies psico-social and labor disorers for the patient as well as the need of a second intervention to reverse the intestinal tract. Objectives: 1. to evaluate the primary repair as an aternative to colostomy in penetrating colon wounds. 2. to elaborate a therapeutic algorithm for this procedure.