ABSTRACT

Objective: To determine the pattern and treatment outcomes of colonic injuries.

Study Design: Descriptive study

Place and Duration of Study: Department of Surgery, Khairpur Medical College Khairpur Mir’s and Postgraduate Medical Institute Quetta from 1st October 2019 to 31st March 2020.

Methodology: One hundred and twenty patients of both genders with ages 20 to 60 years presented with severe colonic injuries were included. Demographical details were recorded after written consent. Pattern of injuries were recorded. Treatment outcomes such as complications and mortality were examined.

Results: There were 105 (87.5%) male patients while 15 (12.5%) were females. Majority of patients 50 (41.67%) were ages 20 to 35 years. Right colon was the most common location of injury in 40 (33.33%) followed by transverse and left. 65 (54.17%) patients had grade 2 injury. Gunshot was the commonest cause of injury in 96 (80%) patients. Small bowel was the commonest injured organ in 70 (58.33%) patients. Eighty patients received primary repair and 40 patients received diversion. Overall complications found in 36 (30%) patients. Mortality found in 30 (25%) patients.

Conclusion: Majority of male patients and most common age group was 20 to 35 years. Gunshot was the commonest cause of colonic injury and small bowel was the most frequent injured organ. Complications occurred in 30% patients and 25% patients were died.

Key words: Colonic injury, Pattern, Primary repair, Diversion, Complications, Mortality