Primary sphincter repair in anorectal trauma

Critchlow, Jonathan F.; Houlihan, Mary Jane; Landolt, Cleland C.; Weinstein, Mark E.

doi:10.1007/bf02554313

Cited by 19 publications

(9 citation statements)

References 7 publications

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“…23,26 In the setting of minor disruptions, primary repair can be considered after clear tissue viability has been established. 27 Such an approach can also be justified from the results from a primary repair for an obstetric injury; therefore, in deciding to proceed with such an approach, the amount of repair to be undertaken should be on par with what would be expected from an obstetric injury. 28 More extensive injuries should be managed with dressing changes and prevention of infectious complications (►Fig.…”

Section: Management Of Rectal Injuriesmentioning

confidence: 99%

Care of the Patient with Anorectal Trauma

Herzig

2012

Clinics in Colon and Rectal Surgery

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Blunt and penetrating injuries to the anus and rectum are uncommon. Considerable debate remains regarding the optimal treatment of rectal injuries. Although intraperitoneal rectal injuries can be treated similarly to colonic injuries, treatment options for extraperitoneal injuries include fecal diversion with a colostomy, presacral drainage, repair of the rectal defect, and distal rectal washout. Perineal injuries resulting in anal sphincter disruption often occur with severe associated injuries. Small defects can be repaired primarily, but extensive injuries often require diversion and sphincter reconstruction.

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Section: Management Of Rectal Injuriesmentioning

confidence: 99%

Care of the Patient with Anorectal Trauma

Herzig

2012

Clinics in Colon and Rectal Surgery

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“…Some of these patients may be candidates for sacral nerve stimulation (if muscle loss is not severe), stimulated gracilis or gluteus muscle transposition, or an artificial sphincter (American Medical Systems Inc., Minnetonka, MN; Table 2). 196,[199][200][201] Iatrogenic and Other Colorectal and Anal Injuries…”

Section: Perineal Injuriesmentioning

confidence: 99%

Colon and Rectal Injuries

Cleary

Pomerantz

Lampman

2006

Diseases of the Colon &Amp; Rectum

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The management of penetrating and blunt colon, rectal, and anal injuries has evolved during the past 150 years. Since the World War II mandate to divert penetrating colon injuries, primary repair or resection and anastomosis have found an increasing role in patients with nondestructive injuries. A critical review of recent literature better defines the role of primary repair and fecal diversion for these injuries and allows for better algorithms for the management of these injuries.

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“…Iatrogene Verletzungen im Rahmen diagnostischer oder therapeutischer Maßnahmen (z. B. Endoskopie, geburtshilfliche Maßnahmen und auch sexuelle Handlungen) führen im weitesten Sinne ebenfalls zu Pfählungs-verletzungen [6,8,18,19,22].…”

Section: Ursachen Und Epidemiologieunclassified

“…Der mög-lichst unverzüglichen Versorgung ist unbedingter Vorzug einzuräumen, da bei Verzögerung eine Retraktion der Sphinkteranteile eintritt bzw. durch Narbenbildung und Degeneration die späteren Aussichten auf Wiederherstellung der Kontinenz schlechter sind [1,4,6,7,8,10,16,22,27,28,39]. Als OP-Verfahren wird die überlappende Naht bevorzugt, da sie die meisten Erfolge bringt [11].…”

Section: Therapie Der Sphinkterverletzungenunclassified

“…Die Ergebnisse der primären Rekonstruktion sind in Anbetracht der potenziellen Verletzungsausdehnungen über-raschend gut [4,6,8,10,16,39,44]. Ob diese Rekonstruktion unter Stomaschutz und unter einer Antibiotikatherapie stattzufinden hat, wird teilweise überhaupt nicht beantwortet oder von der Schwere der Verletzung abhängig gemacht [1,4,7,8,22,27,28,39].…”

Section: Therapie Der Sphinkterverletzungenunclassified

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Perianal and rectal impalement injuries

Joós

Herold²,

Palma

et al. 2006

Chirurg

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Perianal impalement injuries with or without involvement of the anorectum are rare. Apart from a high variety of injury patterns, there is a multiplicity of diagnostic and therapeutic options. Causes of perianal impalement injury are gunshot, accidents, and medical treatment. The diagnostic work-up includes digital rectal examination followed by rectoscopy and flexible endoscopy under anaesthesia. We propose a new classification for primary extraperitoneal perianal impalement injuries in four stages in which the extension of sphincter and/or rectum injury is of crucial importance. Therapeutic aspects such as wound treatment, enterostomy, drains, and antibiotic treatment are discussed. The proposed classification encompasses recommendations for stage-adapted management and prognosis of these rare injuries.

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Primary sphincter repair in anorectal trauma

Cited by 19 publications

References 7 publications

Care of the Patient with Anorectal Trauma

Care of the Patient with Anorectal Trauma

Colon and Rectal Injuries

Perianal and rectal impalement injuries

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