title: [Ano-rectal traumatic lesions. Etiology and treatment].
abstract: From January 1976 to December 2000, in the Surgical and Specialistic Sciences Department, Ist Chair of Surgical Physiopathology, University of Bari, we observed 13 cases of ano-rectal trauma. Except in wartime, these traumas are unusual. The aetiology is variable. In our experience we found 3 lesions due to firearms (24%), 2 patients with polytrauma after car accidents (15%), 3 iatrogenic lesions (24%), 1 lesion due to compressed air (7%), and 4 lesions due to objects used for autoeroticism (30%). Timely diagnosis and treatment were essential for a good outcome. The surgical choice was based on the patient's condition, the aetiology of the lesion and its anatomical site. We constructed 7 temporary colostomies and performed 2 Hartmann's operations. In 4 patients we extracted objects from the rectum. Four patients died.
authors.affiliation: Dipartimento di Scienze Chirurgiche e Specialistiche Cattedra di Fisiopatologia Chirurgica I Università degli Studi di Bari.
authors.forename: D
authors.initials: D
authors.lastname: Timurian
authors.forename: F
authors.initials: F
authors.lastname: Ferrarese
authors.forename: S T
authors.initials: ST
authors.lastname: Massa
authors.forename: G
authors.initials: G
authors.lastname: Fabiano
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012007:Rectum / Q000293:injuries* / Q000601:surgery*; D012189:Retrospective Studies; D014947:Wounds and Injuries / Q000209:etiology