This journal only 2001, Number 4 Cir Gen 2001; 23 (4) Severe perianal trauma, with lesion of the anal sphincter. Primary repair of the anal sphincter mechanism and loop colostomy through laparoscopy. An option to be considered Belmonte MC, Chávez RJJ, Ruiz-Galindo GH, Hernández AR Full text How to cite this article Language: Spanish References: 10 Page: 256-259 PDF size: 51.70 Kb. Key words: Trauma, sphincter, colostomy, laparoscopy. ABSTRACT Objective: To discuss the management of severe perianal trauma with lesion of the anal sphincter by means of primary repair and loop colostomy through laparoscopy. Setting: Third level health care hospital. Description of cases: We analyzed two cases of traumatic lesion of the anal sphincter with associated lesion of extraperitoneal rectum handled by means of primary closure and fecal diversion with loop colostomy through laparoscopy. Both patients evolved satisfactorily without complications associated to the procedures and a very adequate functional result. Conclusion: We consider that the results obtained in our patients with the described methodology, especially in relation to anal incontinence, provide a viable option for the treatment of this pathology in selected patients. REFERENCES Abcarian H. Rectal trauma. Gastroenterol Clin North Am 1987; 16: 115-23. Engel AF, van Baal SJ, Brummelkamp WH. Late results of anterior sphincter plication for traumatic faecal incontinence. Eur J Surg 1994; 160: 633-6. Prasad ML, Pearl RK, Abcarian H. End-loop colostomy. Surg Gynecol Obstet 1984; 158: 380-2. Chrilow JF, Houlihan MJ, Landolt CC, Weinstein ME. Primary sphincter repair in anorectal trauma. Dis Colon Rectum 1996; 28: 945-7. Ludwig KA, Milsom JW, García-Ruiz A, Fazio VW. Laparoscopic techniques for fecal diversion. Dis Colon Rectum 1996; 39: 285-8. Haas PA, Fox TA Jr. Civilian injuries of the rectum and anus. Dis Colon Rectum 1979; 22: 17-22. Ecker KW, Hildebrandt U, Feifel G. Chirurgisches Behandlungskonzept bei traumatischen Sphinkterläsionen. Zentralbl Chir 1996; 121: 681-7. Trunkey D, Hays RJ, Shires GT. Management of rectal trauma. J Trauma 1975; 13: 411-5. Weil PH. Injuries of the retroperitoneal portions of the colon and rectum. Dis Colon Rectum 1975; 16: 19-21. Nielsen MB, Hause C, Rasmussen O, Pedersen JF, Chistiansen J. Anal endosonographic findings in the follow-up of primarily sutured sphincteric ruptures. Br J Surg 1992; 79: 104-6.