• Wartime Colon Injuries: Primary Repair or Colostomy?

      Moreels, R; Pont, M; Ean, S; Vitharit, M; Vuthy, C; Roy, S; Boelaert, M; Médecins Sans Frontières, Brussels, Belgium. (Published by the Royal Society of Medicine, 1994-05)
      A retrospective non-randomized study, comparing primary repair with colostomy, was made on a series of 102 patients with penetrating intraperitoneal colon injuries, in a war surgery programme in Cambodia. The overall case fatality rate (CFR) was 25.5%, whereas in the primary repair group CFR was 20%, compared to 30.8% in the colostomy group. The difference was not statistically significant (P = 0.30). Adjustment for possible confounding factors in the two groups did not alter the results. Considering the numerous advantages to the patient of a primary closure in the precarious situations where war surgery is often performed, this technique merits consideration.