Document Detail


Floating free-standing anus. A complication of massive anorectal infection.
MedLine Citation:
PMID:  6872778     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a four-year period, 1,020 anorectal infections were treated. Twenty-four patients (2.3 per cent) developed massive tissue necrosis, leaving the anorectum devoid of its anatomic support unilaterally, bilaterally or circumferentially, thus resulting in a "floating or free-standing" anus. The most significant etiologic factors were diabetes and anorectal trauma. All patients had aggressive supportive therapy, appropriate use of antibiotics based on gram stains and confirmed by subsequent cultures, followed by early extensive debridement of all necrotic tissues. Colostomy was not utilized in any of the patients. There were no deaths in this series, and complete wound healing occurred in eight to 12 weeks with only one minor recurrent infection in the follow-up period that averaged 40 months.
Authors:
H Abcarian; M Eftaiha
Related Documents :
19460818 - Does negative pressure wound therapy have a role in preventing poststernotomy wound com...
3883378 - What is the appropriate management of tissue extravasation by antitumor agents?
9085058 - Overweight and healing of midline incisions: the importance of suture technique.
24426838 - Bilateral disruption of soft tissue extensor mechanism of knee: functional outcome and ...
2871238 - Mortality from gastric cancer following gastric surgery for peptic ulcer.
16598628 - Percutaneous transvenous mitral commissurotomy in patients with severe mitral stenosis ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  26     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1983 Aug 
Date Detail:
Created Date:  1983-09-09     Completed Date:  1983-09-09     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  516-21     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abscess / complications*,  pathology,  surgery
Adult
Anal Canal / pathology*
Anus Diseases / complications*,  pathology,  surgery
Female
Humans
Male
Middle Aged
Necrosis
Postoperative Care
Rectal Diseases / complications*,  pathology,  surgery
Rectal Fistula / etiology
Urinary Fistula / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Relationship between cholecystectomy and colonic cancer in low-risk Japanese population. A prelimina...
Next Document:  The increased risk of proximal colonic cancer after cholecystectomy.