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Anorectal injury


Authors: P. Šlauf;  F. Antoš;  J. Marx
Authors‘ workplace: Chirurgická klinika l. LF UK, nemocnice Na Bulovce, Praha, přednosta: Doc. MUDr. J. Fanta DrSc.
Published in: Rozhl. Chir., 2014, roč. 93, č. 4, s. 232-235.
Category: Various Specialization

Práce je určena k postgraduálnímu vzdělávání lékařů.

Overview

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. The first step in surgical treatment of severe anorectal injury is the control of massive bleeding and volume resuscitation. The aim of the surgery is to preserve life, control infections and to preserve the patient’s anal continence and evacuation function.

Key words:
anorectal trauma – aetiology – surgical treatment


Sources

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2. Altomare DF. Anal and rectal trauma. In: Herold A, Lehur PA, Matzel KE, OęConnel PR. Coloproctology, Berlin, Heidelberg, Springer Verlag 2008;257–260.

3. Horák L, Skřička T, Šlauf P, Örhalmi J, et al. Praktická proktologie. Praha, Grada Publishing 2013;145–148.

4. Mc Grath V, Fabian TC, Croce MA, Minard G, Pritchard FERectal trauma: management based on anatomic distinctions. Am Surg 1998;64:1136–1141.

5. Morgado PJ, Morgado PJ Jr. Anorectal trauma. In: Wexner SD, Vernava III AM(eds). Clinical decision making in colorectal surgery. Igaku-Shoin Medical, New York 1995.

6. Smith I. Traumatic injuries. In: Keighley MRB, Williams NS (eds). Surgery of the anus, rectum and colon. London, Saunders 1999:2227–2244.

Labels
Surgery Orthopaedics Trauma surgery
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