title: Treatment of complex perineal trauma. A review of the literature.
abstract: Perineal injuries are uncommon, but not rare. They may present a wide variety of injury patterns which demand an accurate diagnostic assessment and treatment. Perineal injuries may occur as isolated injuries to the soft tissues or may be associated with pelvic organ, abdominal or even lower extremity injury. Hence the importance to know in depth not only the anatomy of the perineum and its organs, but also the implications of the patient's hemodynamic stability on the decision making process when treating these injuries using established trauma guidelines. The purpose of this review is to describe the current epidemiology and clinical presentation of perineal injuries in order to provide specific guidelines for the diagnosis and treatment of both stable and unstable patients.
authors.affiliation: Department of Surgery, Division of Trauma Surgery, Surgical Critical Care & Acute Care Surgery, New York Medical College, Westchester Medical Center University Hospital, Valhalla, Nueva York, EE. UU.. Electronic address: patrizio.petrone@gmail.com.
authors.forename: Patrizio
authors.initials: P
authors.lastname: Petrone
authors.affiliation: Department of Surgery, Division of Trauma Surgery, Surgical Critical Care & Acute Care Surgery, New York Medical College, Westchester Medical Center University Hospital, Valhalla, Nueva York, EE. UU.
authors.forename: Wilson
authors.initials: W
authors.lastname: Rodríguez Velandia
authors.affiliation: Department of Surgery, Division of Trauma Surgery, Surgical Critical Care & Acute Care Surgery, New York Medical College, Westchester Medical Center University Hospital, Valhalla, Nueva York, EE. UU.
authors.forename: Jana
authors.initials: J
authors.lastname: Dziaková
authors.affiliation: Department of Surgery, Division of Trauma Surgery, Surgical Critical Care & Acute Care Surgery, New York Medical College, Westchester Medical Center University Hospital, Valhalla, Nueva York, EE. UU.
authors.forename: Corrado P
authors.initials: CP
authors.lastname: Marini
mesh_terms: D000465:Algorithms; D006801:Humans; D010502:Perineum / Q000293:injuries* / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods
keywords: Diagnosis; Diagnóstico; Lesiones perineales; Perineal injuries; Tratamiento; Trauma; Treatment