Impalement and anorectal injuries in childhood

• Verfasst von: Beiler, Hans Albert [VerfasserIn]
• Verfasst von: Zachariou, Zacharias [VerfasserIn]
• Verfasst von: Daum, Roland [VerfasserIn]
• Titel: Impalement and anorectal injuries in childhood
• Titelzusatz: a retrospective study of 12 cases
• Verf.angabe: H.A Beiler, Z Zachariou, R Daum
• E-Jahr: 1998
• Jahr: August 1998
• Umfang: 5 S.
• Fussnoten: Elektronische Reproduktion der Druck-Ausgabe 23. Juni 2004 ; Gesehen am 10.09.2024
• Titel Quelle: Enthalten in: Journal of pediatric surgery
• Ort Quelle: Orlando, Fla. : Elsevier, 1966
• Jahr Quelle: 1998
• Band/Heft Quelle: 33(1998), 8, Seite 1287-1291
• ISSN Quelle: 1531-5037
• DOI: doi:10.1016/S0022-3468(98)90170-1
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1902252403

Abstract

Background/Purpose: Because of the small numbers of impalement and anorectal injuries in childhood, a standardized therapeutic approach is necessary to avoid major complications. On the basis of a retrospective analysis of 12 children with such injuries treated from 1986 to 1996 in our department, the authors tried to establish guidelines for their treatment. Methods: Additional therapeutic problems and main complications are elucidated after meticulous analysis of three selected cases. Results: In two cases of anorectal impalement and a primary colostomy, no complications occured. However, in three cases involving anorectal injury a primary fecal diversion was not performed, making a secondary colostomy necessary after wound infection. Conclusions: The current standard principles in the treatment of severe anorectal injuries in children are fecal diversion, wound drainage, and broad spectrum antibiotics. A primary reconstruction in cases of impalement can be recommended only after exclusion of anorectal injury.