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

Miguel Ángel Padilla González; Víctor Hugo Guerrero Guerrero; Gonzalo Hagerman Ruíz Galindo; Armando Vizcarra Díaz

2001, Number 4

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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

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Language: Spanish
References: 10
Page: 256-259
PDF size: 51.70 Kb.

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.

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