Reevaluating Delayed Anastomosis for Traumatic Colon Injuries in Damage Control Laparotomy.
Immediate colonic anastomosis was not linked to higher leak risk after trauma.
Reevaluating Delayed Anastomosis for Traumatic Colon Injuries in Damage Control Laparotomy.
During damage control laparotomy (damage control laparotomy), colonic anastomoses are often deferred to subsequent operations in patients undergoing colonic resections.
We aimed to analyze the incidence of anastomosis-related complications between immediate and delayed colonic anastomosis patients a retrospective study at a Level 1 trauma center including patients with temporary abdominal closure (temporary abdominal closure).
We conducted (2016-2023) retrospective chart review to analyze outcomes of patients who underwent damage control laparotomy, temporary abdominal closure, and colonic anastomosis either during the index operation or takeback.
leak rates similar whether anastomosis was done right away or delayed
Of the 94 patients identified, 65 underwent immediate and 29 underwent delayed anastomosis.
Blunt trauma patients were more likely to undergo delayed anastomosis, while penetrating trauma patients were more likely to undergo immediate anastomosis (52% vs 78%, P < .01).
Univariable logistic anastomosis and patient delayed groups (36 vs 29 h, P = .09).
There was no significant difference in in-hospital mortality between the study groups (OR: 1.57, 95% CI: 0.46-5.36, P = .54).
Immediate colonic anastomosis during damage control laparotomy was not associated with increased risk of anastomotic leak or in-hospital mortality.