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Delayed primary colon repair – does it have a place in surgical practice?

The historical publication by Stone and Fabian (Stone HH, Fabian TC. Management of perforating colon trauma: randomization between primary closure and exteriorization. Ann Surg 1979; 190:430–6) has modernized the management of colonic injuries, ending the once ongoing debate following publication by Ogilvie (Ogilvie WH. Surgical lessons of war applied to civil practice. Br Med J 1945; 1:619–23). However, the recent introduction and popularity of damage control laparotomy has revived the debate on the safety of delayed primary repair for colonic injuries. As a tertiary referral trauma centre, Rashid Hospital, Dubai, frequently receives polytrauma patients with associated abdominal trauma requiring damage control laparotomies. The aim of this article is to review our experience of colonic injuries to find out if delayed primary repair has a place in practice and issues regarding its safety.