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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...

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Autores principales: Melland-Smith, Megan, Chesney, Tyler R, Ashamalla, Shady, Brenneman, Fred
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
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.
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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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