Management of perineal impalement injuries.
Between 1975 and 1990, 18 cases of sphincter and pelvic floor injuries, of which 7 isolated and 11 part of severe polytraumas, were treated. Thirteen cases benefited from primary repair. Colostomy was required in 9 cases due to the complexity of lesions, in other 5 cases the wounds drainage and colostomy were undertaken. Secondary repair was done after 2-6 months. The functional results in 11 patients indicate a good continence in 6 of 7 cases with primary repair. The results of secondary repair are satisfactory.
Department of General Surgery, University of Freiburg, Germany.
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R
Kirchner
M R
MR
Diaconescu
D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000293:injuries / Q000601:surgery; D002675:Child, Preschool; D003125:Colostomy; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000293:injuries* / Q000601:surgery; D011379:Prognosis; D012086:Reoperation; D014950:Wounds, Penetrating / Q000150:complications / Q000175:diagnosis* / Q000601:surgery