Abstract
In this study, 12 patients were chosen from Trauma Unit, Assuit University Hospital, all of them complaining of traumatic colon injury of variable degrees(gradeII-VI).
The ages of our patients were variable, and the injury was caused by either penetrating injuries (5 cases) or blunt injuries (7 cases). The proposed technique for management is primary colon repair with the implantation of an intra-colonic bypass tube that was formed from condom catheter sleeve after good debridement or resection of the colon if viability is questioned. It was the only procedure in 4 cases or combined with other surgical procedures (as splenectomy, or repair of a liver tear), in 8 cases, it was a relatively safe and easy technique and the operative time was greatly reduced (90 min.) as compared with other options for treatment as proximal colostomy or an intra-operative lavage (120 and 180 min respectively), moreover the mortality rate was zero percent in our work, and all cases were operated smoothly without any problem. And our patients were followed up in the department till discharge after a very short hospital stay (5-7 days) in comparison to greater period for other techniques (10-15 days), consequently the overall morbidity was very low (16.5%) in the form of mild wound infection or mild fever.
The intra-colonic sleeve was expelled from the rectum within 2 weeks later on with good follow up for all our patients, so primary colon repair with an intra-colonic sleeve is a very effective and easy way for management of colon injuries with a very low morbidity and no mortality rates and a very short hospital stay.