TY  - JOUR
PY  - 1998//
TI  - Impalement and anorectal injuries in childhood: a retrospective study of 12 cases
JO  - Journal of pediatric surgery
A1  - Beiler, H. A.
A1  - Zachariou, Zacharias
A1  - Daum, R.
SP  - 1287
EP  - 1291
VL  - 33
IS  - 8
N2  - 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 occurred. However, in three cases involving anorectal injury a primary fecal diversion was not performed, making a secondary colostomy necessary afterwound 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.<p /> <p>Language: en</p>
LA  - en
SN  - 0022-3468
UR  - http://dx.doi.org/
ID  - ref1
ER  -