New England Surgical Society (NESS)
Search NESS
  Annual Meeting
  Annual Resident and Fellow Research Day
      Member Directory
      Members Only
  Scholars Foundation
  Job Board
  Journal of the American College of Surgeons
  Contact NESS

90th Annual Meeting Abstracts

Colorectal Trauma: An Outcome Analysis
*Tiffany Fancher, *Marisa Formica, BA, *Michael S Ajemian, MD
St. Mary's Hospital, Waterbury, CT

Introduction: The objective of this study was to compare blunt and penetrating colorectal injuries from the national trauma database (NTD).
Methods: Investigation of the NTD revealed 601 patients with injuries to the colon or rectum requiring operative repair from 2002-2007. Outcomes evaluated included; demographics, injury endured, operation performed, time to operating room, Injury Severity Score (ISS), AAST Colon Injury Scale (CIS), length of stay, complications and mortality.
Results: The majority of the selected patients were male (85%) with an average age of 33. Penetrating injuries were more common than blunt injury (66% vs 34%). The ISS (23.8 vs 16.7) and mortality (13% vs 8%) were significantly higher for the patients with blunt trauma compared with penetrating trauma (p<.005). Despite having a higher percent of positive documented fasts (16% vs 4%), blunt trauma patients took significantly longer than penetrating patients to get to the operating room (17 vs 9.7 hours, p<0.005). The average CIS of 1.77 was lower for blunt trauma when compared with penetrating trauma 2.03. Of the 90 patients that underwent a colostomy, 64% had penetrating wounds. There were significantly more complications in the blunt colorectal trauma injuries undergoing primary repair (17% vs 4%) when compared with the penetrating trauma group.
Conclusion: Blunt colorectal injuries had a significantly longer observation period prior to operation, a longer length of stay and a higher mortality. While blunt trauma has a lower CIS, there are a great number of associated injuries and complications. Diversion should be considered in patients that suffer a colorectal injury from blunt trauma.


Copyright © 2020 New England Surgical Society. All Rights Reserved.
Read Privacy Policy.