Gunshot wounds to the colon: predictive risk factors for the development of postoperative complications, an experience of 172 cases in 4 years.

摘要: BACKGROUND In our study, we have defined and evaluated risk factors for the development of post-operative complications in patients with gunshot wounds to colon. The purpose study is identify most influential factors. METHODS A retrospective 172 admitted colon from 17 February 2011 31 December 2014. Age, gender, shock upon admission by vital signs haemoglobin level, blood transfusion, injured site colon, injury score, faecal contamination, surgical procedure, diversion, multiple organ injuries, delay time pre-operation duration operation were considered as All observed any postoperative complications. RESULTS One hundred sixty-six (96.5%) males, six (3.5%) female. mean age was 28.5 years. On 104 (60.5%) shock, 89 (51.7%) required transfusion. Forty-four (25.5%) had an ascending while 53 (30.8%), 13 (7.6%), 23 (13.4%), 21 (12.2%) 18 (10.5%) transverse, descending, sigmoid, rectum injuries respectively. diversion used 64 (37.2%). Post-operative documented 67 (38.9%) patients, 35 (20.3%) re-exploratory laparotomy, disability occurred (10.4%)) cases, mortality 12 (6.9%). CONCLUSION Surgeons should be aware that state transfusion are a patient penetrating