Abstract

The journal is the official publication of the College of Surgeons of Sri Lanka. Its mission is to reach the highest standard of scientific surgical practice by dissemination of high quality scientific information and to foster and promote the growth of scientific surgery in Sri Lanka and in the region. The Sri Lanka Journal of Surgery publishes peer-reviewed leading articles, review articles, scientific articles, perspectives and case reports in the field of surgery and broadly related surgical sciences The journal adheres to the publication ethics as portrayed by the Committee on Publication Ethics (COPE) and is a member of this organisation. It is listed as an ICMJE journal which follow its recommendations (ICMJE recommendations) on Conduct, Reporting, Editing and Publication of Scholarly Work in Medical Journals.

Highlights

  • Management of colorectal injuries is still under debate

  • Primary repair was done in 84.68% of colonic injuries. 12.5% of patients with rectal injuries were treated by primary repair (Figure 1)

  • Swinging of the pendulum towards the primary repair and anastomosis from colostomy is seen during the past few decades in colorectal trauma treatment [2, 4]

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Summary

Introduction

Management of colorectal injuries is still under debate. Mode of treatment included primary repair and anastomosis (57.15%), colostomy (9.52%), primary repair with proximal loop colostomy (33.33%). Conclusion: 1) Primary repair was the most common mode of treatment for colonic trauma. 2) Primary repair and proximal loop colostomy was a safe option for rectal trauma. Okies introduced the exteriorization of the repaired segment until healing has been demonstrated, but popularity has been lost due to increased rates of conversion to colostomy and obstruction [3]. Due to the experience gained during military conflicts in the past, mortality rates following colorectal injuries are reducing since 1950. With the experience of 60% mortality during World War 1, colostomy was mandated in World War II for all colorectal injuries and 30% mortality rates were attributed to this.

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