Care of the Patient with Anorectal Trauma

Herzig, Daniel O.

doi:10.1055/s-0032-1329391

Cited by 24 publications

(11 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Rectal injury was excluded with digital rectal examination, rigid sigmoidoscopy [3] , [8] , [9] , [21] and intraoperative rectal insufflation. This patient, however, sustained anal sphincter damage, which is common in perianal extra-peritoneal injuries [11] , [19] . Urethral injury should also be excluded with cystoscopy [8] , [18] , [19] , [20] , or retrograde urethrogram in this setting if blood in the urethral meatus or high-riding prostate is observed.…”

Section: Discussionmentioning

confidence: 84%

Perineal impalement injury by steel bar — A near miss

Xie

Leong²,

Joethy

et al. 2016

Trauma Case Reports

View full text Add to dashboard Cite

Adult perianal impalement injuries are uncommon but can carry high morbidity and mortality. We report a case of a penetrating perineal trauma in a construction worker highlighting an innovative use of a Sengstaken tube to control his pelvic bleeding, as well as the operative management of his sphincteric injury. This article illustrates principles of effective acute care and discusses a diagnostic approach to evaluating a potentially complex injury, as well as the decision-making process with regard to fecal diversion and choice of sphincteric repair.

show abstract

Section: Discussionmentioning

confidence: 84%

Perineal impalement injury by steel bar — A near miss

Xie

Leong²,

Joethy

et al. 2016

Trauma Case Reports

View full text Add to dashboard Cite

show abstract

“…The approach to traumatic anal sphincter injury is largely based on the obstetric literature. Small sphincter defects can be treated with primary repair; however, more extensive injuries are treated with diversion and sphincter reconstruction (85).…”

Section: Anal Injurymentioning

confidence: 99%

Imaging of Acute Conditions of the Perineum

et al. 2018

View full text Add to dashboard Cite

A wide range of acute conditions can affect the perineum, from self-limited disease to conditions that are potentially life threatening or contribute to substantial patient morbidity if not promptly diagnosed and appropriately treated. Imaging is essential in the clinical management of perineal disease because it allows accurate anatomic localization of the origin and extent of the disease to be determined. Familiarity with complex perineal anatomy, appropriate use of imaging modalities, and the spectrum of imaging findings seen in acute perineal conditions is crucial for radiologists to make a rapid and accurate diagnosis. Various imaging modalities are available to evaluate acute perineal conditions, each with their own advantages and disadvantages. Computed tomography is used most commonly in the acute care setting because of its widespread availability and rapid image acquisition. Ultrasonography could be used to evaluate superficial and palpable abnormalities and is especially helpful for diagnosis of genital injuries. Magnetic resonance (MR) imaging exhibits superior tissue contrast resolution, provides excellent characterization of conditions, and lacks ionizing radiation. Its role is increasing in the acute care setting; however, MR imaging is not always readily available and is currently reserved for use as a problem-solving technique. Retrograde urethrography is the modality of choice for evaluating traumatic urethral injury. RSNA, 2018.

show abstract

“…Minor sphincter defects can be repaired primarily, but severe injuries usually require fecal diversion and sphincter reconstruction. [1][2][3] We used a muscle stimulator to reconstruct anal sphincters, a pelvic floor muscle and scrotal restoration were also performed in the same session. Postoperatively, the functional results and the quality of life were considered good.…”

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

confidence: 99%