ABSTRACT
Mechanical rectal injuries are severe traumas of the gastrointestinal tract which often cause fatal complications. The etiology of injuries to the rectum is diverse. They are inflicted with knives, occur in blunt injury of the abdomen, in injury with foreign objects, in falling from a height on a sharp object. Particularly important are traumas occurring during medical manipulations: in giving an enema, during rectosigmoidoscopy and colonoscopy, in electrocoagulation of polyps. Various methods are applied for the treatment of rectal injuries in intra- and extraperitoneal traumas, and an individual approach is needed in each case.
Subject(s)
Rectum/injuries , Rectum/surgery , Abdominal Injuries/complications , Accidental Falls , Colonoscopy , Colostomy , Electrocoagulation/adverse effects , Foreign Bodies/complications , Humans , Iatrogenic Disease , Intestinal Polyps/surgery , Sigmoidoscopy/adverse effects , Wounds, Nonpenetrating , Wounds, StabSubject(s)
Appendectomy/methods , Peritonitis/prevention & control , Postoperative Complications/prevention & control , Appendix , Cecal Diseases/complications , Cecal Diseases/prevention & control , Humans , Intestinal Fistula/complications , Intestinal Fistula/prevention & control , Peritonitis/etiology , Postoperative Complications/etiology , Suture TechniquesSubject(s)
Fistula/surgery , Intestinal Fistula/surgery , Skin Diseases/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle AgedABSTRACT
The authors present their own observations on some cases of the perforation of the distal end of the sigmoid colon and the intraabdominal portion of the rectum, which is a rare condition. The authors present their own observation of 7 cases, only one of whom died. On the grounds of their experience the authors suggest the most suitable variants of surgical interventions.