Evidence map›Paper›PMID 34188327›Full record

Observational studyColombia medica (Cali, Colombia)2021

Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent?

Carlos A Ordoñez, Michael W Parra, Yaset Caicedo, Natalia Padilla, Edison Angamarca, José Julián Serna, Fernando Rodríguez-Holguín, Alberto García, Alexander Salcedo, Luis Fernando Pino and 11 more

Open access · diamondAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Colombia medica (Cali, Colombia), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Patterns of surgical management of hollow organ injuries in severe trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  2. Review
  3. Review
  4. Rectal damage control: when to do and not to do.Colombia medica (Cali, Colombia) · 2021
    Article
  5. Reinterventions after damage control surgery.Colombia medica (Cali, Colombia)
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 9 institutions in 5 countries.

Carlos A OrdoñezFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery. Cali, Colombia.ORCID 0000-0003-4495-7405
Michael W ParraBroward General Level I Trauma Center, Department of Trauma Critical Care, Fort Lauderdale, FL - USA.ORCID 0000-0001-6496-6275
Yaset CaicedoFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia.ORCID 0000-0002-6128-0128
Natalia PadillaFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia.ORCID 0000-0003-3292-6919
Edison AngamarcaHospital UTPL, Department of Surgery. Loja, Ecuador.ORCID 0000-0002-7904-2646
José Julián SernaFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery. Cali, Colombia.ORCID 0000-0001-9829-8930
Fernando Rodríguez-HolguínFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery. Cali, Colombia.ORCID 0000-0002-5326-2317
Alberto GarcíaFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery. Cali, Colombia.ORCID 0000-0002-4096-1434
Alexander SalcedoFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery. Cali, Colombia.ORCID 0000-0001-8187-0638
Luis Fernando PinoUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.ORCID 0000-0002-1179-2854
Adolfo González-HadadUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.ORCID 0000-0001-5862-4906
Mario Alain HerreraUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.ORCID 0000-0002-4526-7636
Laureano QuinteroUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.ORCID 0000-0001-8730-2447
Fabian HernándezUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.ORCID 0000-0002-2974-0649
María Josefa FrancoFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery. Cali, Colombia.ORCID 0000-0003-2063-0336
Gonzalo AristizábalFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery. Cali, Colombia.ORCID 0000-0003-4363-7768
Luis Eduardo ToroFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery. Cali, Colombia.ORCID 0000-0001-5012-8350
Mónica Guzmán-RodríguezUniversidad de Chile, Facultad de Medicina, Instituto de Ciencias Biomédicas, Santiago de Chile, Chile.ORCID 0000-0002-5515-263X
Federico CoccoliniPisa University Hospital, Emergency and Trauma Surgery, Department of General, Pisa, Italy.ORCID 0000-0001-6364-4186
Ricardo FerradaUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.ORCID 0000-0003-2391-5628
Rao IvaturyProfessor Emeritus Virginia Commonwealth University, Richmond, VA, USA.ORCID 0000-0001-7208-7836
Fundación Valle del Lili · COHospital Universitario del Valle ESE · COCaucaseco Scientific Research Center · COBroward Health · USUniversidad del Valle · COUniversidad Técnica Particular de Loja · ECUniversity of Chile · CLUniversity of Pisa · ITVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hollow viscus injuries represent a significant portion of overall lesions sustained during penetrating trauma. Currently, isolated small or large bowel injuries are commonly managed via primary anastomosis in patients undergoing definitive laparotomy or deferred anastomosis in patients requiring damage control surgery. The traditional surgical dogma of ostomy has proven to be unnecessary and, in many instances, actually increases morbidity. The aim of this article is to delineate the experience obtained in the management of combined hollow viscus injuries of patients suffering from penetrating trauma. We sought out to determine if primary and/or deferred bowel injury repair via anastomosis is the preferred surgical course in patients suffering from combined small and large bowel penetrating injuries. Our experience shows that more than 90% of all combined penetrating bowel injuries can be managed via primary or deferred anastomosis, even in the most severe cases requiring the application of damage control principles. Applying this strategy, the overall need for an ostomy (primary or deferred) could be reduced to less than 10%.

Indexed as

ConsensusEnterostomyAdultAnastomosis, SurgicalColombiaFemaleHemorrhageHumansIntestine, LargeIntestine, SmallLaparotomyMaleMedical IllustrationRetrospective StudiesWounds, GunshotWounds, PenetratingAnastomotic LeakDamage Control SurgeryDeferred AnastomosisDefinitive LaparotomyFistulaInjury Severity ScoreLaparotomyOstomyPenetrating Combined Small and Large Bowel InjuriesPrimary AnastomosisSurgical Anastomosis

Identifiers

PMID34188327
PMCPMC8216049
OpenAlexW3160874473

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.