Care of the Patient with Anorectal Trauma

Daniel O. Herzig

doi:10.1055/s-0032-1329391

Clinics in Colon and Rectal Surgery, Table of Contents

Clin Colon Rectal Surg 2012; 25(04): 210-213
DOI: 10.1055/s-0032-1329391

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Care of the Patient with Anorectal Trauma

Daniel O. Herzig

¹Department of Surgery, Digestive Health Center & Knight Cancer Institute, Oregon Health and Science University, Portland, Oregon

› Author Affiliations

Abstract

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.

Keywords

anus - rectum - trauma - anorectal trauma - extraperitoneal rectal trauma - anal sphincter trauma

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References

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