Abstract
Objectives: To determine the effectiveness of primary repair of colonic injuries and its comparison with the traditionalcolostomy or exteriorization. Methods: The study was performed in Mayo hospital Lahore. Of the initial 114 patients 63 patients with colonicinjuries were selected and divided into 2 groups. After resuscitation these patients were operated. Both methods of treatment of colonic injurieswere employed in different patients. Results were tabulated and a comparison of primary repair vs colostomy was done. Results: Recoveryof patients undergoing primary repair was comparable with those having colostomy done. Only one major complication of leak occurred in theprimary repair group. Abdominal dehiscence occurred in the colostomy group. Average hospital stay of 9 days in the primary repair group wassignificant and far less, than 22 days in colostomy group. Conclusion: Under controlled circumstances primary repair of colonic injuries appearsto be a good mode of treatment.
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