Clin Colon Rectal Surg 2012; 25(04): 210-213
DOI: 10.1055/s-0032-1329391
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Care of the Patient with Anorectal Trauma

Daniel O. Herzig
1  Department of Surgery, Digestive Health Center & Knight Cancer Institute, Oregon Health and Science University, Portland, Oregon
› Author Affiliations
Further Information

Publication History

Publication Date:
21 November 2012 (online)

Abstract

Blunt and penetrating injuries to the anus and rectum are uncommon. Considerable debate remains regarding the optimal treatment of rectal injuries. Although intraperitoneal rectal injuries can be treated similarly to colonic injuries, treatment options for extraperitoneal injuries include fecal diversion with a colostomy, presacral drainage, repair of the rectal defect, and distal rectal washout. Perineal injuries resulting in anal sphincter disruption often occur with severe associated injuries. Small defects can be repaired primarily, but extensive injuries often require diversion and sphincter reconstruction.