Related Experiment Video

Updated: Oct 1, 2025

Maintenance of a Lateral Fluid Percussion Injury Device
05:16

Maintenance of a Lateral Fluid Percussion Injury Device

Published on: April 21, 2023

1.1K

The Management of Perineal Trauma in Children

Darshan A Manjunath1,2, Veerabhadra Radhakrishna2, Deepti Vepakomma2

  • 1Department of General Surgery, McGann Hospital, Shivamogga Institute of Medical Sciences, Shivamogga, India.

Journal of Indian Association of Pediatric Surgeons
|March 9, 2022
PubMed

Insights

This study evaluated pediatric perineal trauma outcomes, defining a management protocol. Key findings emphasize primary repair, colostomy for severe anorectal injuries, and suprapubic cystostomy for urethral damage to preserve function.

Area of Science:

  • Pediatric Surgery
  • Trauma Management
  • Urology

Background:

  • Perineal trauma in children presents complex challenges.
  • Genitourinary and anorectal injuries often accompany perineal trauma.
  • Effective management protocols are crucial for optimal outcomes.

Purpose of the Study:

  • To evaluate the outcomes of perineal trauma in pediatric patients.
  • To establish a standardized management protocol for childhood perineal injuries.
  • To analyze injury patterns and treatment strategies.

Main Methods:

  • Retrospective study of 41 children with perineal injuries (August 2012 - December 2020).
  • Classification into three groups based on injury type: perineal/genitourinary, perineal/anorectal, and combined injuries.
  • Primary surgical repair for all patients; colostomy for full-thickness anorectal injuries; suprapubic cystostomy (SPC) for urethral disruption.

Main Results:

  • Impalement and sexual abuse were the most frequent injury mechanisms (27% each).
  • Anorectal injuries occurred in 49% of patients, with 24% being full-thickness.
  • Genital injuries affected 59%, and urethral injuries 12%; stenosis and rectovaginal fistula were rare complications.

Conclusions:

  • A systematic primary survey and examination under anesthesia are vital for assessing perineal trauma.
  • Colostomy is essential for managing severe anorectal injuries, aiding in complication reduction and continence preservation.
  • Diverting suprapubic cystostomy (SPC) is indicated for selected urethral injuries to facilitate healing.
Abstract

Keywords:
Anorectal injuriescolostomyexamination under anesthesiapediatric perineal traumasexual abuseurogenital injuries

More Related Videos

Vessel-sparing Excision and Primary Anastomosis08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

11.6K
Microscopic Replantation of Penile Glans Amputation Due to Circumcision07:28

Microscopic Replantation of Penile Glans Amputation Due to Circumcision

Published on: June 3, 2022

20.4K

Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
268
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
165
Muscles of the Pelvic Floor and Perineum01:26

Muscles of the Pelvic Floor and Perineum

The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
2.4K
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
470
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
33