Simplified management of low-energy projectile extraperitoneal rectal injuries.
Publication/Presentation Date
12-1-2009
Abstract
INTRODUCTION: Since minimally invasive approach for fecal diversion in low-velocity extraperitoneal rectal injuries (EPRI) has a lower morbidity than open, and since computed tomography (CT) scan is helpful in ruling out concomitant intraperitoneal injuries (IPI), we utilized both modalities to simplify management of such injuries.
METHODS: Retrospective review of stable patients with EPRI, treated with laparoscopic assisted diversion, after a CT scan, compared with patients with similar injuries that had a negative laparotomy and a colostomy.
RESULTS: The laparoscopy group had a shorter length of stay (3 +/- 2 days versus 7 +/- 2 days), earlier return of bowel function (3 +/- 2 days versus 5 +/- 2 days) and fewer infectious complications. If the CT scan was negative for IPI, none were found on open exploration or laparoscopy.
CONCLUSION: If IPI are ruled out with a preoperative CT scan, laparoscopy-assisted colostomy is safe and less morbid.
Volume
67
Issue
6
First Page
1270
Last Page
1271
ISSN
1529-8809
Published In/Presented At
Ahmed, N., Thekkeurumbil, S., Mathavan, V., Janzen, M., Tasse, J., & Chung, R. (2009). Simplified management of low-energy projectile extraperitoneal rectal injuries. The Journal of trauma, 67(6), 1270–1271. https://doi.org/10.1097/TA.0b013e318187ad14
Disciplines
Medicine and Health Sciences
PubMedID
19680157
Department(s)
Department of Surgery
Document Type
Article