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Anal trauma and foreign bodies.

Michael D Hellinger1

  • 1Division of Colon and Rectal Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami School of Medicine, Miami, FL 33136, USA. mhelling@med.miami.edu

The Surgical Clinics of North America
|January 9, 2003
PubMed
Summary

Immediate recognition of iatrogenic anal trauma is crucial for successful outcomes and avoiding diverting stomas. Prompt evaluation of anal sphincters and associated structures guides appropriate management strategies for these injuries.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Trauma Surgery

Background:

  • Iatrogenic anal trauma, while infrequent, necessitates prompt recognition and management.
  • Successful outcomes depend on immediate assessment and intervention, potentially avoiding the need for a diverting stoma.
  • Comprehensive evaluation must include assessment of anal sphincters and potential involvement of adjacent structures.

Purpose of the Study:

  • To review the diagnostic and management strategies for iatrogenic anal trauma.
  • To emphasize the importance of immediate recognition and evaluation of anal sphincter integrity.
  • To outline treatment options for anal sphincter injuries, considering immediate or delayed repair.

Main Methods:

  • Review of clinical scenarios involving iatrogenic anal trauma.

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  • Emphasis on physical examination for anal sphincter assessment and identification of associated injuries.
  • Discussion of surgical techniques for managing superficial injuries and anal sphincter defects.

    • Main Results:

    • Foreign bodies rarely cause significant anorectal injury, but their extraction may require specialized techniques.
    • Superficial anal injuries can be managed non-operatively or with primary closure.
    • Various surgical options exist for the repair of anal sphincter injuries, with the choice dependent on the clinical context.

    Conclusions:

    • Prompt recognition and thorough evaluation are paramount in managing iatrogenic anal trauma.
    • Management strategies for anal injuries, including sphincter repairs, should be tailored to the individual clinical presentation.
    • Timely intervention can lead to successful outcomes and minimize the need for more complex surgical procedures such as diverting stomas.