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>Journals >Cirugía y Cirujanos >Year 2005, Issue 6


Baeza-Herrera C, Jiménez-González N, Osorio-Agüero CD, Nájera-Garduño HM, Sanjuán-Fabián H
Traumatic perforation of the anorectal canal
Cir Cir 2005; 73 (6)

Language: Español
References: 15
Page: 453-456
PDF: 105.18 Kb.


Full text




ABSTRACT

Introduction: Traumatic perforation of the anorectal canal in children is relatively uncommon. There may be difficulties in recognizing or properly treating such injuries because their severity may not be reflected accurately by the external appearance of the perineum. Material and methods: This was a retrospective survey of 19 children with anorectal rupture injuries secondary to blunt trauma and perforating mechanisms.
Result: Sixteen (89.4%) were male and 15 (77.0%) suffered perforation after a fall on a sharp tool. All were admitted more than 12 hours after accident. Twelve (63.0%) had transanal extraperitoneal injuries and 13 (68.4%) patients underwent colostomy.
Conclusions:
The majority of these perforations are caused by falls at play. The current standard principles in the treatment of anorectal injuries in children are wound drainage, broad-spectrum antibiotics and frequently fecal diversion.


Key words: Peritonitis, trauma, children, rectal perforation.


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>Journals >Cirugía y Cirujanos >Year 2005, Issue 6
 

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