engleski

New Approach in Therapy of Subperitoneal Iatrogenic Injuries of the Rectum

Standard therapy of subperitoneal iatrogenic injury of the rectum includes: diverting colostomy, presacral drainage, distal wash out and rectal repair. The goal of the study was to examine the posibility of drainage in these patients according to the place of injury, rather then the common presacral drainage while still administering the other before mentioned standard procedure. Since February 1974 until December 2002, in our institution we treated 22 patients with subperitoneal iatrogenic injury of the rectum. The ratio of man:woman was 14:8 (63, 6%:36, 4%). Causes of injry werw anosigmoidoscopy 8 (36, 4%), enema 6 (27, 2%), colonoscopy 5 (22, 8%) and barium enema 3 (13, 6%). In 15 (68, 2%) cases the injury healed without any complications. In 5 (22, 8%) cases an infection with secrection developed which required longer treatment. In one (4, 5%) case perianal fistula was formed, but it healed spontaneusly within 4 months. One patient (4, 5%) died. In conclusion, we can ephasize that in cases of subperitoneal injury of the rectum drainage according to the place of injury is an acceptable method and that it can replace commonly used presacral drainage.

subperitonneal iatrogenic injury of rectum; presacral drainage; therapy

nije evidentirano