Adherence to a Simplified Management Algorithm Reduces Morbidity and Mortality after Penetrating Colon Injuries: A 15-Year Experience

Abstract

Despite an increase in the incidence of destructive colon injuries, our management algorithm remains valid. Destructive injuries associated with pre- or intraoperative transfusion requirements of more than 6 units packed RBCs and/or significant comorbidities are best managed with diversion. By managing the majority of other destructive injuries with resection plus anastomosis, acceptably low morbidity and mortality can be achieved.