Impalement and anorectal injuries in childhood: a retrospective study of 12 cases
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, t...
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| Main Authors: | , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
August 1998
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| In: |
Journal of pediatric surgery
Year: 1998, Volume: 33, Issue: 8, Pages: 1287-1291 |
| ISSN: | 1531-5037 |
| DOI: | 10.1016/S0022-3468(98)90170-1 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/S0022-3468(98)90170-1 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0022346898901701 
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| Author Notes: | H.A Beiler, Z Zachariou, R Daum |
MARC
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| 520 | |a 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. | ||
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