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Impalement and anorectal injuries in childhood: a retrospective study of 12 cases

H A Beiler1, Z Zachariou, R Daum

  • 1Department of Pediatric Surgery, Ruprecht-Karls-University, Heidelberg, Germany.

Journal of Pediatric Surgery
|August 29, 1998
PubMed

Insights

Standardized treatment for childhood anorectal injuries is crucial. Fecal diversion, wound drainage, and antibiotics are recommended, with primary reconstruction only after excluding injury.

Area of Science:

  • Pediatric Surgery
  • Trauma Care

Background:

  • Childhood impalement and anorectal injuries are rare, necessitating standardized treatment protocols.
  • A retrospective analysis of 12 pediatric cases (1986-1996) informed treatment guidelines.

Observation:

  • Analysis of three selected cases highlighted therapeutic challenges and complications.
  • Two cases with anorectal impalement and primary colostomy experienced no complications.

Findings:

  • Failure to perform primary fecal diversion in three cases led to wound infection and secondary colostomy.
  • Effective management involves fecal diversion, wound drainage, and broad-spectrum antibiotics.

Implications:

  • Establishing clear guidelines can prevent severe complications in pediatric anorectal injuries.
  • Primary reconstruction should only be considered after thorough exclusion of anorectal injury.
Abstract

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