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Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma
Unlike intraperitoneal colorectal injuries, the standard of care for extraperitoneal rectal trauma includes a diverting colostomy due to relative inaccessibility of these injuries for primary repair. New technologies to enhance access to the extraperitoneal rectum have gained increasing use in benig...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228675/ https://www.ncbi.nlm.nih.gov/pubmed/32426526 http://dx.doi.org/10.1136/tsaco-2019-000396 |
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author | Melland-Smith, Megan Chesney, Tyler R Ashamalla, Shady Brenneman, Fred |
author_facet | Melland-Smith, Megan Chesney, Tyler R Ashamalla, Shady Brenneman, Fred |
author_sort | Melland-Smith, Megan |
collection | PubMed |
description | Unlike intraperitoneal colorectal injuries, the standard of care for extraperitoneal rectal trauma includes a diverting colostomy due to relative inaccessibility of these injuries for primary repair. New technologies to enhance access to the extraperitoneal rectum have gained increasing use in benign and malignant rectal disease. We present two cases of low-velocity penetrating extraperitoneal rectal trauma. In both cases, a transanal minimally invasive surgery (TAMIS) approach was used to access, and primarily repair, full-thickness rectal lacerations. These patients were successfully managed without a colostomy and without complication. TAMIS enables access to distal rectal injuries, facilitating primary repair and bringing the management of extraperitoneal rectal injuries in line with intraperitoneal injuries, with the potential to avoid fecal diversion. |
format | Online Article Text |
id | pubmed-7228675 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-72286752020-05-18 Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma Melland-Smith, Megan Chesney, Tyler R Ashamalla, Shady Brenneman, Fred Trauma Surg Acute Care Open Brief Report Unlike intraperitoneal colorectal injuries, the standard of care for extraperitoneal rectal trauma includes a diverting colostomy due to relative inaccessibility of these injuries for primary repair. New technologies to enhance access to the extraperitoneal rectum have gained increasing use in benign and malignant rectal disease. We present two cases of low-velocity penetrating extraperitoneal rectal trauma. In both cases, a transanal minimally invasive surgery (TAMIS) approach was used to access, and primarily repair, full-thickness rectal lacerations. These patients were successfully managed without a colostomy and without complication. TAMIS enables access to distal rectal injuries, facilitating primary repair and bringing the management of extraperitoneal rectal injuries in line with intraperitoneal injuries, with the potential to avoid fecal diversion. BMJ Publishing Group 2020-05-12 /pmc/articles/PMC7228675/ /pubmed/32426526 http://dx.doi.org/10.1136/tsaco-2019-000396 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Brief Report Melland-Smith, Megan Chesney, Tyler R Ashamalla, Shady Brenneman, Fred Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma |
title | Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma |
title_full | Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma |
title_fullStr | Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma |
title_full_unstemmed | Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma |
title_short | Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma |
title_sort | minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228675/ https://www.ncbi.nlm.nih.gov/pubmed/32426526 http://dx.doi.org/10.1136/tsaco-2019-000396 |
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