Crystalloids After Primary Colon Resection and Anastomosis at Initial Trauma Laparotomy: Excessive Volumes Are Associated With Anastomotic Leakage

Abstract

Increased use of crystalloids after primary colocolonic anastomosis at initial trauma laparotomy is associated with anastomotic leakage. A threshold of 10.5 L of crystalloid fluid infused over the first 72 hours is associated with a 5-fold increased risk for colocolonic suture line failure. The impact of crystalloid restriction on anastomotic failure in trauma patients warrants prospective investigation.