Anorectal injuries in children: a 20-year experience in two centers

Samuk, Inbal; Steiner, Zvi; Feigin, Elad; Baazov, Arthur; Dlugy, Elena; Freud, Enrique

doi:10.1007/s00383-015-3746-4

Cited by 14 publications

(8 citation statements)

References 14 publications

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“…[ 1 3 4 ] Fall from height was the most common injury in studies by Bakal et al ., Samuk et al ., and Sogut et al . [ 2 5 6 ] We found impalement injuries and sexual abuse as the most common mechanisms of perineal injury in our study similar to Vincent et al . and Black et al .…”

Section: Discussionsupporting

confidence: 89%

The Management of Perineal Trauma in Children

Dandinarasaiah

Radhakrishna

Vepakomma

2022

Journal of Indian Association of Pediatric Surgeons

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Aims: This study aimed to evaluate the outcome of perineal trauma in children and to a define protocol for their management. Methods: It is a retrospective study of children who presented with perineal injury between August 2012 and December 2020. The patients were classified into three groups: Group-1 included children with perineal and genitourinary injuries; Group-2 included patients with perineal and anorectal injuries; and Group-3 included patients with perineal, genitourinary, and anorectal injuries. All patients underwent primary repair. Those with full-thickness anorectal injury underwent an additional covering colostomy, while urethral disruption was initially managed by a diverting suprapubic cystostomy (SPC). Results: A total of 41 patients were studied. Impalement injury ( n = 11; 27%) and sexual abuse ( n = 11; 27%) were the most common mechanisms of injury. Twenty (49%) patients had anorectal injuries with 10 (24%) each of partial-thickness and full-thickness injury. There were 24 (59%) genital injuries and five (12%) urethral injuries. One patient each developed anal and vaginal stenosis, both were managed with dilatation. One patient developed a rectovaginal fistula repaired surgically at a later date. Conclusion: Perineal injuries with resultant anorectal or genital damage require a careful primary survey. Following stabilization, an examination under anesthesia as a set protocol will help determine the treatment strategy. A colostomy is essential in the acute management of severe anorectal injuries to reduce local complications and preserve continence. Urethral injuries may warrant an initial diverting SPC in selected cases.

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Section: Discussionsupporting

confidence: 89%

The Management of Perineal Trauma in Children

Dandinarasaiah

Radhakrishna

Vepakomma

2022

Journal of Indian Association of Pediatric Surgeons

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“…19 Generally, fecal diversion is proposed in cases of lifethreatening trauma, substantial associated injuries, large scale perineal involvement and high probability of generalized contamination. 20 In our case, the diversion-colostomy- approach was preferred in order to rule out possible future complications from urogenital system, while simultaneously providing a safe, unpolluted environment for the injured anal section to be healed.…”

Section: Discussionmentioning

confidence: 93%

Traumatic Perineal Injury in a 13-Year-Old Female: Case Report and Review of the Literature

et al. 2019

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“…options for ARGI include proximal colostomy, presacral drainage, rectal defect repair, and distal rectal fecal diversion. [6] We preferred fecal diversion with right transverse loop colostomy because of the risk of infection due to severe perineal injury. The wound area was cleaned by antegrade enema performed from colostomy.…”

Section: E T T E R T O T H E E D I T O R Open Accessmentioning

confidence: 99%