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Improved Outcomes in Colon and Rectal Surgery part 40

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and that was reliable in the acute postinjury setting as opposed to other etiologies for critical illness (i.e. management of penetrating Colon injury The argument for primary repair. Today, primary repair is considered the treatment of choice for most colon injuries. They acknowledge that primary repair was only attempted in patients without extensive fecal contamination, complete destruction of a segment...

Improved Outcomes in Colon and Rectal Surgery part 41

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Gonzalez et al. As men- tioned, documentation of the extent and nature of the sphincter. The authors demonstrate the synthe- sis of the principles of ATLS, damage control, and distal rectal injury required to manage these potentially devastating injuries.. Their review of the literature revealed similar mor- tality rates. The authors’ review of the literature revealed a 21–25% death rate...

Improved Outcomes in Colon and Rectal Surgery part 42

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can be used to aid in diagnosis of ureteral injury by retrograde injection of methylene blue through the ureteral catheter. A laceration or transection of the ureter can usually be repaired with primary anastamosis (ureteroureterostomy with spatulated ends), ureteral stent, and placement of a closed suction drain in the area of the repair (Figure 36.3).. If a ligation injury is...