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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Handsewn versus stapled anastomosis in penetrating colon injuries requiring resection: a multicenter study
Journal of Trauma, Volume 52, No. 1, Year 2002
Notification
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Description
Although the use of stapling devices in elective colon surgery has been shown to be as safe as handsewn techniques, there have been concerns about their safety in emergency trauma surgery. The purpose of this study was to compare stapled with handsewn colonic anastomosis following penetrating trauma. This was a prospective multicenter study and included patients who underwent colon resection and anastomosis following penetrating trauma. Multivariate logistic regression analysis was used to identify independent risk factors for abdominal complications and compare outcomes between stapled and handsewn repairs. Two hundred seven patients underwent colon resection and primary anastomosis. In 128 patients (61.8%) the anastomosis was performed with handsewing and in the remaining 79 (38.2%) with stapling devices. There were no colon-related deaths and the overall incidence of colon-related abdominal complications was 22.7% (26.6% in the stapled group and 20.3% in the handsewn group, p = 0.30). The incidence of anastomotic leak was 6.3% in the stapled group and 7.8% in the handsewn group (p = 0.69). Multivariate analysis adjusting for blood transfusions, fecal contamination, and type of antibiotic prophylaxis showed that the adjusted odds ratio (OR) of complications in the stapled group was 0.83 (95% CI, 0.38-1.74, p = 0.63). In a second multivariate analysis adjusting for blood transfusions, hypotension, fecal contamination, Penetrating Abdominal Trauma Index, and preoperative delays the adjusted OR in the stapled group was 0.99 (95% CI, 0.46-2.11, p = 0.99). The results of this study suggest that the method of anastomosis following colon resection for penetrating trauma does not affect the incidence of abdominal complications and the choice should be surgeon’s preference. © 2002 Lippincott Williams & Wilkins, Inc.
Authors & Co-Authors
Demetriades, Demetrios G.
United States, Los Angeles
University of Southern California
Murray, James A.
United States, Los Angeles
University of Southern California
Chan, Linda S.
South Africa, Johannesburg
Chris Hani Baragwanath Hospital
Ordoñez Delgado, Carlos Alberto
South Africa, Johannesburg
Chris Hani Baragwanath Hospital
Bowley, Douglas M.G.
South Africa, Johannesburg
Chris Hani Baragwanath Hospital
Nagy, Kimberly K.
United States, Maywood
Loyola University Medical Center
Cornwell, Edward E.
United States, Maywood
Loyola University Medical Center
Velmahos, George C.
United States, Maywood
Loyola University Medical Center
Muñoz, Nestor
United States, Maywood
Loyola University Medical Center
Hatzitheofilou, Constantin
Canada, Birmingham
Carraway Methodist Medical Center
Schwab, Charles William
Canada, Birmingham
Carraway Methodist Medical Center
Rodríguez, Aurelio
Canada, Birmingham
Carraway Methodist Medical Center
Cornejo, Carol J.
Canada, Birmingham
Carraway Methodist Medical Center
Davis, Kimberly A.
United States, Charlotte
Carolinas Medical Center
Namias, Nicholas
United States, Charlotte
Carolinas Medical Center
Wisner, David H.
United States, Charlotte
Carolinas Medical Center
Ivatury, Rao Richmond
United States, Louisville
University Hospital, Louisville
Moore, Eugene E.
United States, Louisville
University Hospital, Louisville
Acosta, José Antonio
United States, Louisville
University Hospital, Louisville
Maull, Kimball I.
United States, Louisville
University Hospital, Louisville
Thomason, Michael H.
United States, Louisville
University Hospital, Louisville
Spain, David Alan
United States, Louisville
University Hospital, Louisville
Statistics
Citations: 80
Authors: 22
Affiliations: 6
Identifiers
Doi:
10.1097/00005373-200201000-00020
ISSN:
00225282
Research Areas
Health System And Policy
Violence And Injury
Study Design
Cohort Study
Case-Control Study
Study Approach
Quantitative