Journal article
A Rare Case of Total Rectal and Urethral Disruption After Blunt Trauma
The American surgeon, Vol.87(1), pp.149-151
Jan 2021
PMID: 32870027
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
A 2011 systematic review of pelvic fracture urethral injuries identified 3 conventional methods used to repair a urethral injury: primary suturing, primary realignment, and suprapubic cystostomy with delayed repair. 4 The primary repair has been largely replaced by realignment and cystostomy due to high risk of incontinence and impotence—21% and 56%, respectively. Some civilian studies of pelvic trauma have found that presacral drainage and direct repair of rectal injuries do not improve infection outcomes. 1 Some studies have indicated that primary repair without fecal diversion is acceptable without undue increase in risk. 1 While guidelines exist for isolated GU trauma and for penetrating rectal trauma, there is a lack of consensus for universally accepted guidelines for the treatment of these rare concomitant injuries as seen in our patient. In these cases, debridement of necrotic tissue with primary repair, proximal diversion, and placement of an omental flap between the rectum and the GU injury may reduce fistula formation. 2 Pelvic ring stabilization and hemorrhage control with the early diversion of the fecal stream are important tenets of treatment for pelvic trauma.
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Details
- Title
- A Rare Case of Total Rectal and Urethral Disruption After Blunt Trauma
- Creators
- Danielle L Hashmi - Drexel University, SurgeryChelsea Spector - Drexel University College of Medicine, Drexel University, Philadelphia, PA, USAAdrian Ong - Reading HospitalShannon M Foster - Department of Trauma and Critical Care, Tower Health-Reading Hospital, Reading, PA, USAMichael Musso - Reading HospitalFilip Moshkovsky - Reading Hospital
- Publication Details
- The American surgeon, Vol.87(1), pp.149-151
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000641420800032
- Scopus ID
- 2-s2.0-85102153611
- Other Identifier
- 991021860668804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery