Article Figures & Data
Figures
- Figure 1
Defined management algorithm for penetrating colon injuries. PRBCs, packed red blood cells.
- Figure 2
Colon-related morbidity and mortality after implementation of a defined management algorithm for penetrating colon injuries. The percentage of abscess formation, suture line failure and mortality is represented along the vertical axis. The solid line represents abscess formation, the dots represent suture line failure and the dashes represent mortality.
Tables
- Table 1
Stewart et al: risk factors for suture line failure
Resection + anastomosis Suture line failure (%) Death (%) All patients (n=43) 14 12 PRBCs transfusion >6 units 33 33 Medical illness 75 50 Combined high risk 42 33 PRBCs, packed red blood cells.
- Table 2
Adjusted ORs for suture line failure, colon-related morbidity and colon-related mortality in all patients based on anatomic location of injury
Suture line failure Colon-related morbidity Colon-related mortality Adjusted OR 95% CI Adjusted OR 95% CI Adjusted OR 95% CI Ascending 0.96 0.25 to 3.69 1.39 0.78 to 2.48 0.60 0.06 to 5.92 Transverse 0.16 0.02 to 1.34 0.68 0.38 to 1.18 0.65 0.06 to 6.53 Descending 3.36 0.91 to 12.42 1.31 0.71 to 2.42 0.58 0.06 to 5.52 Sigmoid 1.37 0.25 to 7.39 0.80 0.35 to 1.81 5.48 0.67 to 45.1 - Table 3
Comparison of patients that underwent delayed anastomosis managed according to the algorithm versus patients not managed according to the algorithm
No algorithm Algorithm p n 19 23 Age (years) 39 43 0.45 Comorbidity (%) 11 0 0.20 Male (%) 63 74 0.52 Injury severity score 30 21 0.01 Intra-op PRBCs (units) 15.6 4.1 <0.001 Admission Shock Index 1.3 0.8 0.002 Admission BE (mEq/L) −10.6 −4.7 0.007 Suture line failure (%) 32 4 0.03 Colon-related morbidity (%) 58 22 0.03 Colon-related mortality (%) 11 0 0.20 Admission Shock Index, admission systolic blood pressure/admission heart rate.
Abd-AIS , Abdominal Abbreviated Injury Scale; BE, base excess; PRBCs, packed red blood cells.
- Table 4
Comparison of suture line failure across series evaluating delayed anastomosis after abbreviated laparotomy
n Suture line failure (%) Miller et al 59 11 0 Weinberg et al 60 33 12.1 Kashuk et al 61 29 16 Ott et al 62 44 27.3 Vertrees et al 63 10 10 Ordonez et al 64 27 7.4 Georgoff et al 65 28 21 Burlew et al 66 60 20 Sharpe et al 67 42 16.7 No algorithm 19 32 Algorithm 23 4
