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Fecal diversion in management of large infected perianal lesions
1Department of Surgery, Nassau County Medical Center, East Meadow, New York 11554, USA.
Purpose:
The purpose of this manuscript is to present a method of temporary fecal diversion.
Methods:
A tube was sutured into the anorectum of eight patients with large infected and/or necrotic perianal lesions that were being soiled and infected by the fecal stream. Five patients were diabetic, two had sacral pressure sores, and one suffered from hidradenitis suppurativa.
Results:
Tubes remained in place from 10 to 14 days, during which time the infective condition was brought under control. There were no complications.
Conclusions:
The difficulties and disadvantages of current medical and surgical methods of controlling the fecal stream under these conditions are discussed, and the method presented is suggested as a viable and simple alternative.