Surveyed opinion of American trauma surgeons in management of colon injuries.

摘要: Background: Primary repair or resection and anastomosis of colon wounds have been advocated in many recent studies, but the proportion trauma surgeons accepting these recommendations is unknown. Objective: To determine current preferences American for injury management. Methods: Four hundred forty-nine members Association Surgery Trauma were surveyed regarding their preferred management eight types among three options: diverting colostomy (DC), primary (PR), (RA). The influence selected patient factors surgeons' characteristics on choice was also surveyed. Results: Seventy-three percent completed survey. Ninety-eight chose PR at least one type injury. Thirty never DC. High-velocity gunshot wound only which majority (54%) would perform More than 55% favored RA when isolated a contusion with possible devascularization, laceration greater 50% diameter, transection. Surgeons who managed five fewer per year DC more frequently (p < 0.001) less six year. Conclusion: prevailing opinion favors injuries, including unprepared bowel. manage prefer frequently.