TY  - JOUR
PY  - 2006//
TI  - Perianal and rectal impalement injuries
JO  - Chirurg: Zeitschrift fur alle Gebiete der Operativen Medizen
A1  - Joos, A. K.
A1  - Herold, A.
A1  - Palma, P.
A1  - Post, S.
SP  - 781
EP  - 789
VL  - 77
IS  - 9
N2  - Perianal impalement injuries with or without involvement of the anorectum are rare. Apart from a high variety of injury patterns, there is a multiplicity of diagnostic and therapeutic options. Causes of perianal impalement injury are gunshot, accidents, and medical treatment. The diagnostic work-up includes digital rectal examination followed by rectoscopy and flexible endoscopy under anaesthesia. We propose a new classification for primary extraperitoneal perianal impalement injuries in four stages in which the extension of sphincter and/or rectum injury is of crucial importance. Therapeutic aspects such as wound treatment, enterostomy, drains, and antibiotic treatment are discussed. The proposed classification encompasses recommendations for stage-adapted management and prognosis of these rare injuries.<p /> <p>Language: de</p>
LA  - de
SN  - 0009-4722
UR  - http://dx.doi.org/10.1007/s00104-006-1220-5
ID  - ref1
ER  -