Rectal damage control: when to do and not to do
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Redalyc
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| Natura: | Artículo científico |
| Lingua: | en |
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Universidad del Valle
2021
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| _version_ | 1876456718680981504 |
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| author | Luis Guillermo Saldarriaga |
| author_facet | Luis Guillermo Saldarriaga |
| contents | Rectal damage control: when to do and not to do Luis Guillermo Saldarriaga Helmer Emilio Palacios-Rodríguez Luis Fernando Pino Adolfo González Hadad Yaset Caicedo Jessica Capre Alberto García Fernando Rodríguez-Holguín Alexander Salcedo José Julián Serna Mario Alain Herrera Michael W. Parra Carlos A. Ordoñez Abraham Kestenberg-Himelfarb Medicina anti colon Wounds rectum gunshot Rectal trauma is uncommon, but it is usually associated with injuries in adjacent pelvic or abdominal organs. Recent studies have changed the paradigm behind military rectal trauma management, showing better morbidity and mortality. However, damage control techniques in rectal trauma remain controversial. This article aims to present an algorithm for the treatment of rectal trauma in a patient with hemodynamic instability, according to damage control surgery principles. We propose to manage intraperitoneal rectal injuries in the same way as colon injuries. The treatment of extraperitoneal rectum injuries will depend on the percentage of the circumference involved. For injuries involving more than 25% of the circumference, a colostomy is indicated. While injuries involving less than 25% of the circumference can be managed through a conservative approach or primary repair. In rectal trauma, knowing when to do or not to do it makes the difference. 2021 reseña 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681006 https://www.redalyc.org/journal/283/28366681006/ https://www.redalyc.org/journal/283/28366681006/html/ https://www.redalyc.org/journal/283/28366681006/28366681006.epub https://www.redalyc.org/journal/283/28366681006/movil 10.25100/cm.v52i2.4776 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.52 |
| format | Artículo científico |
| id | redalyc_28366681006 |
| institution | Redalyc |
| language | en |
| publishDate | 2021 |
| publisher | Universidad del Valle |
| spellingShingle | Rectal damage control: when to do and not to do Luis Guillermo Saldarriaga Medicina anti colon Wounds rectum gunshot Rectal damage control: when to do and not to do Luis Guillermo Saldarriaga Helmer Emilio Palacios-Rodríguez Luis Fernando Pino Adolfo González Hadad Yaset Caicedo Jessica Capre Alberto García Fernando Rodríguez-Holguín Alexander Salcedo José Julián Serna Mario Alain Herrera Michael W. Parra Carlos A. Ordoñez Abraham Kestenberg-Himelfarb Medicina anti colon Wounds rectum gunshot Rectal trauma is uncommon, but it is usually associated with injuries in adjacent pelvic or abdominal organs. Recent studies have changed the paradigm behind military rectal trauma management, showing better morbidity and mortality. However, damage control techniques in rectal trauma remain controversial. This article aims to present an algorithm for the treatment of rectal trauma in a patient with hemodynamic instability, according to damage control surgery principles. We propose to manage intraperitoneal rectal injuries in the same way as colon injuries. The treatment of extraperitoneal rectum injuries will depend on the percentage of the circumference involved. For injuries involving more than 25% of the circumference, a colostomy is indicated. While injuries involving less than 25% of the circumference can be managed through a conservative approach or primary repair. In rectal trauma, knowing when to do or not to do it makes the difference. 2021 reseña 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681006 https://www.redalyc.org/journal/283/28366681006/ https://www.redalyc.org/journal/283/28366681006/html/ https://www.redalyc.org/journal/283/28366681006/28366681006.epub https://www.redalyc.org/journal/283/28366681006/movil 10.25100/cm.v52i2.4776 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.52 |
| title | Rectal damage control: when to do and not to do |
| topic | Medicina anti colon Wounds rectum gunshot |
| url | https://www.redalyc.org/articulo.oa?id=28366681006 https://www.redalyc.org/journal/283/28366681006/ https://www.redalyc.org/journal/283/28366681006/html/ https://www.redalyc.org/journal/283/28366681006/28366681006.epub https://www.redalyc.org/journal/283/28366681006/movil |