| Management of rectal trauma. | |
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MedLine Citation:
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PMID: 6507755 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 9 year review of rectal trauma was conducted. Forty-seven patients had major rectal trauma requiring diversion. Twenty-seven percent of patients presented in shock. Routine perioperative antibiotics were administered. Ninety-five percent of patients had positive findings on digital rectal examination or proctoscopy. There were 91 associated injuries. Rectal injuries were repaired in 19 patients. The absence of repair had no influence on postoperative morbidity or length of hospital stay. Ninety-five percent of patients had presacral drainage. One patient had distal rectal irrigation. Both loop and divided colostomies were utilized with no difference in morbidity or hospital stay. There were no deaths. Proctoscopy is essential in patients with wounds in proximity to the rectum. Diversion and presacral drainage for rectal injury is associated with a low mortality and acceptable morbidity. Rectal washout does not appear to be essential in civilian rectal injuries. |
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Authors:
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D Tuggle; P J Huber |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 148 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 1984 Dec |
Date Detail:
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Created Date: 1985-01-18 Completed Date: 1985-01-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 806-8 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Child, Preschool Emergencies Female Follow-Up Studies Humans Male Middle Aged Postoperative Complications Rectum / injuries*, surgery Time Factors Wounds, Gunshot / surgery Wounds, Penetrating / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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