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document
The injured colon : therapeutic considerations . A prospective randomized study was carried out at the Detroit General Hospital over a two year period to evaluate methods of management in 165 patients with colonic injuries . Results of the study show that primary closure is a safe and reiable method of management when rigid criteria are incorporated in an ongoing protocol . Moreover , the technic of exteriorization is a safe adjunct to management and is recommended in any patient with a colonic injury above 18 cm in which one suture line is required and in which the additional operating time of twenty minutes will not compromise the management of secondary injuries . Patients not fulfilling these criteria should have primary colostomy . These principles make it possible to reduce the need for primary colostomy to approximately 50 per cent in a large ongoing group of patients with colonic injury .
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Intervention_Physical
colonic injuries
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Intervention_Physical
primary closure
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Intervention_Physical
exteriorization
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Intervention_Surgical
primary colostomy
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Intervention_Surgical
primary colostomy
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Outcome_Other
safe
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Outcome_Other
reiable
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Outcome_Other
safe
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Outcome_Physical
primary colostomy .
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Outcome_Physical
primary colostomy
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Participant_Condition
injured colon :
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Participant_Sample-size
165
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Participant_Condition
colonic injuries
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Participant_Condition
any patient with a colonic injury above 18 cm
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Participant_Condition
patients with colonic injury