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Non-surgical acute traumatic perianal injuries
Mehmet Aykut Yıldırım1, Murat Çakır1
1Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Konya, Türkiye.
Turkish Journal of Surgery
|June 19, 2020
Summary
This study analyzed 15 patients with perianal injuries, focusing on sphincter repair outcomes. Early surgical intervention for acute perianal trauma is recommended to improve results.
Area of Science:
- Colorectal Surgery
- Trauma Surgery
- Pelvic Floor Disorders
Background:
- Fecal incontinence diagnosis and treatment are complex.
- Perianal trauma, particularly from childbirth, is a significant cause.
- Evaluating and managing perianal injuries requires careful consideration of injury severity.
Purpose of the Study:
- To analyze cases of patients undergoing sphincter repair for acute perianal injuries.
- To evaluate surgical outcomes and long-term results for perianal trauma patients.
Main Methods:
- Retrospective analysis of 15 patients treated between 2010-2015.
- Data collected included demographics, injury type and severity, treatment, and complications.
- Long-term outcomes of surgical repair were assessed.
Main Results:
- The study included 15 patients (10 female, 5 male).
- Most female injuries resulted from birth trauma (9/10).
- All patients underwent sphincteroplasty; 10 had levatoroplasty, and all females received vaginoplasty.
Conclusions:
- Prompt surgical intervention for acute perianal injuries is crucial.
- Early surgical repair may prevent complications associated with tissue edema.
- Effective management involves tailored surgical approaches based on injury characteristics.
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