Primary Repair of Extensive Rectal Injury during Urethroplasty in Children Without Bowel Preparation: Report of Two Cases
Urology Journal,
Vol. 17 No. 2 (2020),
16 March 2020
,
Page 213-214
https://doi.org/10.22037/uj.v17i2.4594
Abstract
Today, there are several methods to repair colon and rectal injury such as primary repair, stoma, resection with anastomosis and damage control only. To our best knowledge, there is no definite method published in literature about iatrogenic rectal injury during perineal urethroplasty in children. Here, we explain two 10 and 12-year old boys with iatrogenic rectal injury during perineal urethroplasty who underwent primary repair. Based on our experience, primary repair of rectum in such condition is feasible, successful and can be a good choice to avoid placing colostomy and secondary repair.Keywords: complication; rectal injury; perineal urethroplasty; primary repair
How to Cite
References
Steele SR, Wolcott KE, Mullenix PS, Martin MJ, Sebesta JA, Azarow KS, et al. Colon and rectal injuries during Operation Iraqi Freedom: are there any changing trends in management or outcome? Diseases of the colon and rectum. 2007;50(6):870-7.
Salinas-Aragon LE, Guevara-Torres L, Vaca-Perez E, Belmares-Taboada JA, Ortiz-Castillo Fde G, Sanchez-Aguilar M. Primary closure in colon trauma. Cirugia y cirujanos. 2009;77(5):359-64.
Levine JH, Longo WE, Pruitt C, Mazuski JE, Shapiro MJ, Durham RM. Management of selected rectal injuries by primary repair. American journal of surgery. 1996;172(5):575-8; discussion 8-9.
Choi WJ. Management of colorectal trauma. Journal of the Korean Society of Coloproctology. 2011;27(4):166-72.
Joshi P, Kaya C, Kulkarni S. Approach to bulbar urethral strictures: Which technique and when? Turkish journal of urology. 2016;42(2):53-9.
Ulger BV, Turkoglu A, Oguz A, Uslukaya O, Aliosmanoglu I, Gul M. Is ostomy still mandatory in rectal injuries? International surgery. 2013;98(4):300-3.
Papadopoulos VN, Michalopoulos A, Apostolidis S, Paramythiotis D, Ioannidis A, Mekras A, et al. Surgical management of colorectal injuries: colostomy or primary repair? Techniques in coloproctology. 2011;15 Suppl 1:S63-6.
Bostick PJ, Heard JS, Islas JT, Johnson DA, Sims EH, Fleming AW, et al. Management of penetrating colon injuries. Journal of the National Medical Association. 1994;86(5):378-82.
Gonzalez RP, Falimirski ME, Holevar MR. Further evaluation of colostomy in penetrating colon injury. The American surgeon. 2000;66(4):342-6; discussion 6-7.
- Abstract Viewed: 565 times
- pdf/4594 Downloaded: 347 times