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Laparoscopic primary repair of a pediatric transanal impalement injury: a case report
Philip J Hammond1, Matthew J Jackson, Bruce Jaffray
1Department of Paediatric Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom. philiphammond@doctors.org.uk
Insights
This study details a successful laparoscopic repair for a child
Area of Science:
- Pediatric surgery
- Minimally invasive surgery
- Trauma surgery
Background:
- Anorectal impalement injuries typically require open exploration and surgical repair.
- Management decisions depend on injury severity and contamination levels.
Observation:
- A case of accidental transanal intraperitoneal impalement injury in a child was reported.
- The injury involved the anorectal region and extended intraperitoneally.
Findings:
- A primary laparoscopic repair was successfully performed.
- Minimally invasive techniques were utilized for the repair.
Implications:
- Laparoscopic repair may be a viable option for select anorectal impalement injuries in children.
- This approach could potentially reduce patient morbidity compared to open surgery.
Abstract:
Conventional treatment of anorectal impalement injuries involves an open exploration and either a fecal diversion and/or a primary repair dictated by the degree of soft-tissue disruption and contamination. In this paper, the authors present the case report of a successful primary laparoscopic repair of an accidental transanal intraperitoneal impalement injury in a child.