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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1982-6-24
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pubmed:abstractText |
Exteriorized repair of selected colonic injuries has been reported to be successful. Eighty-two colonic injuries were reviewed to determine the indications for primary repair, exteriorized repair, or colostomy and to assess the feasibility of early drop-back of the exteriorized repaired colon. Injuries were graded into three stages: stage 1, good risk; stage 2, moderate risk; and stage 3, bad risk. Sixty-seven percent of patients with stage 1 injuries underwent primary repair, 61% of patients with stage 2 injuries underwent exteriorized repair, and 61% of patients with stage 3 injuries received a colostomy. Of 38 patients who had exteriorized repair, 29 (76%) had their colon successfully dropped back on an average of five days postoperatively. Nine patients had their exteriorized colon converted to a colostomy on an average of 5.5 days postoperatively. The overall mortality was 2.4%; however, the mortality of the patients with exteriorized repair was 0%. Exteriorized repair with early drop-back is safe and economical for most patients with stage 2 injuries and selected patients with stage 3 injuries.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0004-0010
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
117
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
652-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7073485-Adolescent,
pubmed-meshheading:7073485-Adult,
pubmed-meshheading:7073485-Aged,
pubmed-meshheading:7073485-Colon,
pubmed-meshheading:7073485-Colostomy,
pubmed-meshheading:7073485-Female,
pubmed-meshheading:7073485-Humans,
pubmed-meshheading:7073485-Male,
pubmed-meshheading:7073485-Middle Aged,
pubmed-meshheading:7073485-Mortality,
pubmed-meshheading:7073485-Postoperative Complications,
pubmed-meshheading:7073485-Wounds, Gunshot,
pubmed-meshheading:7073485-Wounds, Nonpenetrating,
pubmed-meshheading:7073485-Wounds, Stab
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pubmed:year |
1982
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pubmed:articleTitle |
Trauma of the colon: early drop-back of exteriorized repair.
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pubmed:publicationType |
Journal Article
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