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Colorectal Injuries

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Head, Thoracic, Abdominal, and Vascular Injuries

Part of the book series: European Manual of Medicine ((EUROMANUAL))

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Abstract

Colorectal injuries are caused by penetrating trauma, less often by blunt trauma, or by accidental iatrogenic injuries. Colorectal injuries endanger the patient due to infectious complications. Prognosis is improving if treatment is initiated early. Simple suturing may be indicated in serosal and stabbing injuries. In high velocity trauma such as gun shot wounds or intestinal rupture following blunt trauma, resection is indicated. Evidence-based criteria for application of a colostomy are missing. Primary intestinal anastomosis may be performed whenever general conditions permit this procedure. In multiple injuries and septic hemodynamic instability, damage-control procedures, diversion colostomy, or protection of anastomosis by protective stoma may be indicated.

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Authors and Affiliations

  1. Department of Surgery, Trauma Center Murnau, Prof.-Küntscsher-Str.8, 82418, Murnau, Germany

    Alexander Woltmann & Christian Hierholzer

Authors
  1. Alexander Woltmann
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  2. Christian Hierholzer
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Correspondence to Alexander Woltmann .

Editor information

Editors and Affiliations

  1. Klinik für Unfall- und, Wiederherstellungschirurgie, Allgemeines Krankenhaus Celle, Siemensplatz 4, Celle, 29223, Germany

    Hans-Jörg Oestern

  2. Forschungsabteilung Chirurgie, UniversitätsSpital Zürich, Rämistr. 100, Zürich, 8091, Switzerland

    Otmar Lorenz Trentz

  3. Medizinische Universität Graz, Auenbruggerplatz 15, Graz, 8036, Austria

    Selman Uranues

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© 2011 Springer Berlin Heidelberg

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Woltmann, A., Hierholzer, C. (2011). Colorectal Injuries. In: Oestern, HJ., Trentz, O., Uranues, S. (eds) Head, Thoracic, Abdominal, and Vascular Injuries. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88122-3_10

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  • DOI: https://doi.org/10.1007/978-3-540-88122-3_10

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-88121-6

  • Online ISBN: 978-3-540-88122-3

  • eBook Packages: MedicineMedicine (R0)

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