A technique for rapid closure of traumatic small intestine perforations without resection.

Abstract

Small bowel perforation after blunt trauma is frequently associated with other intra-abdominal injuries. Typically, large luminal defects are encountered after blunt trauma that cannot be closed primarily without subsequent luminal compromise, necessitating formal resection with primary anastomosis. We describe a safe, rapid, and effective method by which traumatic small bowel perforations may be closed without resection using readily available gastrointestinal stapling devices. The speed of the closure allows for expedient management of associated injuries without fear of continued enteric spillage. No mesenteric resection or closure is needed, obviating the possibility of internal hernias.