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Surgery Trauma 0f276949

A patient suffered bullet injury to the left side of the colon and presented in casualty depament after 12 hours. What will be the management

A

Proximal defunctioning colostomy

B

Primary closure

C

Proximal colostomy and bringing out the distal end as mucus fistula

D

Resection and primary anastmosis

High-Yield Explanation

Here option C is the correct answer. Left sided colonic injury is treated with proximal colostomy with closure of the wound if it is small, or resection and anastomosis if it is wider area. Closure of colostomy is done at later stages after 3-6 months. Reference : SRB's Manual of Surgery, 6th Edition, page no = 144

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