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extraperitoneal rectal injury

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https://www.readbyqxmd.com/read/26815961/unusual-extraperitoneal-rectal-injuries-a-retrospective-study
#1
M Gümüş, A Böyük, M Kapan, A Onder, F Taskesen, I Aliosmanoğlu, A Tüfek, M Aldemir
PURPOSE: Rectal injuries, which are rarely encountered because of the anatomic characteristics, occur due to penetrating traumas. In the current study, we aimed to present experiences gleaned from our clinic concerning rarely encountered unusual rectal injuries, including those cases presented for the first time. METHODS: Eleven patients who had been treated for unusual rectal injuries in the General Surgery Clinic of Dicle University between 2004 and 2011 were retrospectively reviewed...
June 2012: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/26713970/management-of-penetrating-extraperitoneal-rectal-injuries-an-eastern-association-for-the-surgery-of-trauma-practice-management-guideline
#2
REVIEW
Patrick L Bosarge, John J Como, Nicole Fox, Yngve Falck-Ytter, Elliott R Haut, Heath A Dorion, Nimitt J Patel, Amy Rushing, Lauren A Raff, Amy A McDonald, Bryce R H Robinson, Gerald McGwin, Richard P Gonzalez
BACKGROUND: The management of penetrating rectal trauma invokes a complex decision tree that advocates the principles of proximal diversion (diversion) of the fecal stream, irrigation of stool from the distal rectum, and presacral drainage based on data from World War II and the Vietnam War. This guideline seeks to define the initial operative management principles for nondestructive extraperitoneal rectal injuries. METHODS: A systematic review of the MEDLINE database using PubMed was performed...
March 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/26188926/anorectal-injuries-in-children-a-20-year-experience-in-two-centers
#3
MULTICENTER STUDY
Inbal Samuk, Zvi Steiner, Elad Feigin, Arthur Baazov, Elena Dlugy, Enrique Freud
INTRODUCTION: Anorectal injuries in children are not frequently reported and their management is challenging. This report reviews the experience in managing this type of injuries in two medical centers over 20 years. METHODS: An institutional database search for patients who were treated for anorectal injuries between 1994 and 2015 was undertaken. Twenty cases were located and medical records reviewed. This study was conducted with institutional review board approval (#572-14)...
September 2015: Pediatric Surgery International
https://www.readbyqxmd.com/read/25003864/diversion-remains-the-standard-of-care-for-modern-management-of-war-related-rectal-injuries
#4
Mary T O'Donnell, Lauren T Greer, Jeffery Nelson, Craig Shriver, Amy Vertrees
INTRODUCTION: Management of rectal injuries in war-injured patients has evolved over time. METHODS: Retrospective review of records of patients sustaining war-related rectal injuries admitted to Walter Reed Army Medical Center from Iraq and Afghanistan. RESULTS: From 2003 to 2011, 67 males ages 18 to 40 sustained rectal injuries after secondary blast (64%), gunshot (33%), motor vehicle crash (1%), or helicopter crash (1%). Injuries were extraperitoneal (72%), intraperitoneal (25%), or both (3%)...
July 2014: Military Medicine
https://www.readbyqxmd.com/read/24917939/laparoscopy-for-extraperitoneal-rectal-cancer-reduces-short-term-morbidity-results-of-a-systematic-review-and-meta-analysis
#5
Alberto Arezzo, Roberto Passera, Gitana Scozzari, Mauro Verra, Mario Morino
BACKGROUND: The role of laparoscopy in the treatment of extraperitoneal rectal cancer is still controversial. The aim of the study was to evaluate differences in safety of laparoscopic rectal resection for extraperitoneal cancer, compared with open surgery. MATERIALS AND METHODS: A systematic review from 2000 to July 2012 was performed searching the MEDLINE and EMBASE databases (PROSPERO registration number CRD42012002406). We included randomized and prospective controlled clinical studies comparing laparoscopic and open resection for rectal cancer...
February 2013: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/24901135/transanal-endoscopic-proctectomy-a-case-in-swine
#6
Sergio Eduardo Alonso Araujo, Victor Edmond Seid, Lucas de Araujo Horcel
Laparoscopic total mesorectal excision has been proven safe and effective in the radical minimally invasive surgical treatment of rectal cancer. However, technical difficulties may impose challenges to completion of the procedure leading to an eventually high conversion rate. Transanal endoscopic proctectomy using available minimally invasive rectal surgery platforms represents an ingenious approach to surgery in the extraperitoneal rectum. It was aimed at evaluating the feasibility of this natural orifice translumenal endoscopic surgery rectosigmoid resection in the swine...
March 2014: Hepato-gastroenterology
https://www.readbyqxmd.com/read/24881482/-anorectal-injury
#7
P Slauf, F Antoš, J Marx
Anal and rectal traumas are relatively rare (with the exception of iatrogenic damage) due to the anatomical position of the anorectum. The anal canal is injured more frequently due to its relatively superficial position, but injuries involving the extraperitoneal rectum, although more rare, tend to be much more severe and may affect the surrounding organs. Intraperitoneal rectal injury is associated with bleeding or perforation and may lead to peritonitis and diffuse contamination of the abdominal cavity. The decisive factor is the early detection of the injury and early initiation of treatment...
April 2014: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/24527030/penetrating-bladder-trauma-a-high-risk-factor-for-associated-rectal-injury
#8
B M Pereira, L O Reis, T R Calderan, C C de Campos, G P Fraga
Demographics and mechanisms were analyzed in prospectively maintained level one trauma center database 1990-2012. Among 2,693 trauma laparotomies, 113 (4.1%) presented bladder lesions; 51.3% with penetrating injuries (n = 58); 41.3% (n = 24) with rectal injuries, males corresponding to 95.8%, mean age 29.8 years; 79.1% with gunshot wounds and 20.9% with impalement; 91.6% arriving the emergence room awake (Glasgow 14-15), hemodynamically stable (average systolic blood pressure 119.5 mmHg); 95.8% with macroscopic hematuria; and 100% with penetrating stigmata...
2014: Advances in Urology
https://www.readbyqxmd.com/read/24339668/an-unusual-stab-wound-to-the-buttock
#9
Ashraf F Hefny, Elnazeer A Salim, Masoud O Bashir, Fikri M Abu-Zidan
Stab wounds to the buttock are uncommon injuries that are rarely seen in surgical civilian practice. Although, the wound appears trivial, it may cause major life-threatening visceral and vascular injuries. Failure to detect these injuries may lead to serious morbidity and mortality. Herein, we report a patient with a single gluteal stab wound, which was initially sutured and treated conservatively. Two days later, patient developed fever, lower abdominal pain and tenderness with leakage of fecal material from the wound...
October 2013: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/24294122/care-of-the-patient-with-anorectal-trauma
#10
REVIEW
Daniel O Herzig
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...
December 2012: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/24229012/is-ostomy-still-mandatory-in-rectal-injuries
#11
Burak Veli Ulger, Ahmet Turkoglu, Abdullah Oguz, Omer Uslukaya, Ibrahim Aliosmanoglu, Mesut Gul
The aim of this study was to compare the outcomes of the treatment methods of ostomy and primary repair in rectal injuries. A total of 63 patients with rectal injury who had been treated at Dicle University Hospital between 2000 and 2011 were retrospectively reviewed. To determine the outcomes of the treatment methods, the patients were divided into 2 groups (ostomy group: patients who underwent ostomy plus primary repair; repair group: patients who only underwent primary repair) and compared. The patients included 51 men and 12 women...
October 2013: International Surgery
https://www.readbyqxmd.com/read/23960381/images-in-medicine-diagnosis-and-pre-surgical-triage-of-transanal-rectal-injury-using-multidetector-ct-with-water-soluble-contrast-enema
#12
Massimo Tonolini
Transanal rectal injuries caused by foreign body insertion, sexual abuse, or iatrogenic procedures represent a very uncommon surgical emergency. Morbidity may be further increased by patient's embarrassment and delayed presentation. Since management decisions largely depend on anatomic and severity assessment, multidetector Computed tomography with rectally administered water-soluble iodinated contrast medium is highly valuable to accurately depict traumatic rectal injuries, and to distinguish between intraperitoneal vs extraperitoneal injuries that require different surgical approaches...
July 2013: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/23820660/iatrogenic-direct-rectal-injury-an-unusual-complication-during-suprapubic-cystostomy-spc-insertion-and-its-laparoscopic-management
#13
Rakesh Rajmohan, Bernardo Aguilar-Davidov, Theodoros Tokas, Jens Rassweiler, Ali Serdar Gözen
Suprapubic cystostomy (SPC) is commonly used, instead of indwelling urethral catheter- ization, as indicated in many pathological conditions. Although considered to be a safe procedure that can be easily performed in an outpatient basis several complications have been reported in international literature. Bowel injury can be a serious complication with the small intestine affected in the majority of cases. We present a case of an acci- dental rectal injury by a suprapubic catheter misplacement, in a 76 year old demented patient with prostatic hyperplasia and chronic urinary retention...
June 2013: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/23711268/blunt-traumatic-bladder-rupture-a-10-year-perspective
#14
Kinzie A Matlock, Alan H Tyroch, Ziad N Kronfol, Susan F McLean, Miguel A Pirela-Cruz
The purpose of this study was to determine the incidence, features, and associated injuries of intraperitoneal (IP) and extraperitoneal (EP) bladder rupture (BR) resulting from blunt trauma. A retrospective study from September 2001 to August 2011 was performed for blunt traumatic BR in adults. Demographics, mean Injury Severity Score (ISS), mean length of stay (LOS), incidence, mortality, operative repair, and associated injuries were evaluated. Of 15,168 adult blunt trauma admissions over 10 years, 54 patients had BR (EP = 22, IP = 27, EP + IP = 5; incidence = 0...
June 2013: American Surgeon
https://www.readbyqxmd.com/read/23011491/penetrating-anorectal-injuries-in-jamaican-children
#15
Michelle V Vincent, Colin Abel, Newton D Duncan
PURPOSE: To discuss the presentation, management and outcomes of penetrating anorectal injuries at the Bustamante Hospital for Children. METHODS: A retrospective review over an 11-year period (January 2001-December 2011) was undertaken. The data analysed were extracted from patients' case notes which were pulled based on the hospital's admission database. RESULTS: Over the study period a total of 14 children presented with penetrating anorectal injuries...
November 2012: Pediatric Surgery International
https://www.readbyqxmd.com/read/22844382/oncological-and-functional-results-of-extraperitoneal-laparoscopic-radical-prostatectomy
#16
Tao Zheng, Xu Zhang, Xin Ma, Hong-Zhao Li, Jiang-Pin Gao, Wei Cai, Guang-Fu Chen, Jun Dong, Bao-Jun Wang, Tao-Ping Shi
The oncological and functional results of 329 cases in a population treated with extraperitoneal laparoscopic radical prostatectomy (ELRP) were evaluated retrospectively. A total of 329 inconsecutive patients with prostate cancer (PCa) who underwent ELRP were retrospectively analyzed. The median initial prostate-specific antigen (PSA) level was 17.35 ng/ml. The median biopsy Gleason score was 7.77. Patients with a T2 or T3a clinical stage had received preoperative neoadjuvant hormonal therapy (NHT) for 3 to 9 months prior to ELRP...
August 2012: Oncology Letters
https://www.readbyqxmd.com/read/22702047/-clinical-treatment-of-open-pelvic-fractures-associated-with-perineal-injury
#17
Renqian Wei, Xinghai Cao, Dahua Tu
OBJECTIVE: To investigate the method and the effectiveness of open pelvic fractures associated with perineal injury. METHODS: Between August 2000 and July 2010, 16 cases of open pelvic fractures associated with perineal injury were treated. There were 12 males and 4 females with an average age of 41 years (range, 17-69 years). Injury was caused by traffic accidents in 9 cases, by falling from height in 6 cases, and by crushing in 1 case. The mean time between injury and admission was 8 minutes (range, 5-20 minutes)...
May 2012: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/22390085/-perioperative-management-of-radical-prostatectomy-a-nationwide-survey-in-japan
#18
Kikuo Okamura, Tomoyasu Tsushima, Mutsushi Kawakita, Yoshikatsu Nojiri, Seiji Naito, Tadashi Matsuda, Ryohei Hattori, Tomonori Hasegawa, Yasuhiro Kaiho, Yoichi Arai
PURPOSE: Recently, various types of radical surgery have been performed in Japan. To elucidate the surgical consequences, morbidity and mortality, and perioperative care, we conducted a nationwide survey. MATERIALS AND METHODS: Assisted by the Japanese Society of Endourology, perioperative data from 156 hospitals participating in this survey in 2007 were analyzed. Using a spreadsheet database, data were collected from each institution. RESULTS: Open radical prostatectomy was performed in 3,138 patients at 143 hospitals, minimum incision endourological radical prostatectomy in 361 at 15 hospitals, laparoscopic radical prostatectomy via transperitoneal approach in 143 at 11 hospitals and laparoscopic radical prostatectomy via extraperitoneal approach in 337 at 13 hospitals...
November 2011: Nihon Hinyōkika Gakkai Zasshi. the Japanese Journal of Urology
https://www.readbyqxmd.com/read/22090324/factors-affecting-morbidity-in-penetrating-rectal-injuries-a-civilian-experience
#19
Metehan Gümüş, Murat Kapan, Akın Önder, Abdullah Böyük, Sadullah Girgin, Ibrahim Taçyıldız
BACKGROUND: The principles of the treatment of rectal injuries have been determined based on the experiences gained from military injuries. While adopting these principles in civilian life, it is essential to know the characteristics of civilian rectal injuries as well as the risk factors affecting morbidity. METHODS: The characteristics of 29 inpatients who had been treated due to rectal injuries caused by gunshot wounds and penetrating devices were evaluated. In order to determine the risk factors, the patients were divided into two groups regarding the presence of morbidity (Group 1, with morbidity; Group 2, without morbidity) and compared...
September 2011: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/21980586/management-of-colorectal-trauma
#20
Won Jun Choi
Although the treatment strategy for colorectal trauma has advanced during the last part of the twentieth century and the result has improved, compared to other injuries, problems, such as high septic complication rates and mortality rates, still exist, so standard management for colorectal trauma is still a controversial issue. For that reason, we designed this article to address current recommendations for management of colorectal injuries based on a review of literature. According to the reviewed data, although sufficient evidence exists for primary repair being the treatment of choice in most cases of nondestructive colon injuries, many surgeons are still concerned about anastomotic leakage or failure, and prefer to perform a diverting colostomy...
August 2011: Journal of the Korean Society of Coloproctology
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