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Penetrating trauma to the buttock
W F Fallon1, T M Reyna, R G Brunner
1Department of Surgery, University Hospital of Jacksonville, FL 32209.
Southern Medical Journal
|October 1, 1988
Summary
Penetrating buttock trauma can affect multiple body systems, with soft tissue injuries being most common. Prompt multisystem evaluation is crucial for managing these complex injuries and preventing complications.
Area of Science:
- Trauma surgery
- Surgical outcomes
- Injury patterns
Background:
- Penetrating buttock trauma presents a significant clinical challenge due to potential involvement of multiple organ systems.
- Effective management requires a thorough understanding of the anatomical structures at risk.
Purpose of the Study:
- To review institutional experience with penetrating buttock trauma.
- To determine the frequency of associated system injuries.
- To analyze morbidity and mortality, and provide management recommendations.
Main Methods:
- Retrospective review of patients with penetrating buttock trauma.
- Analysis of system injuries, operative procedures, and patient outcomes.
- Identification of common injury patterns and management strategies.
Main Results:
- Soft tissue injuries were the most frequent among 56 system injuries identified.
- Operative procedures included wound care, rectal, orthopedic, vascular, genitourinary, and neurosurgical interventions.
- No deaths occurred; morbidity included nerve injury, stroke, and impotence.
Conclusions:
- Penetrating buttock trauma necessitates a comprehensive, multisystem approach for evaluation and management.
- Understanding potential system involvement guides prompt and effective patient care.
- Early recognition and intervention can mitigate significant morbidity.