Laparoscopy and loop colostomy : a new approach to extra-peritoneal rectal injuries

Distal rectal washout and presacral drainage appear to have little or no influence on the morbidity and mortality in patients with low-energy trauma to the rectum. The ever-increasing popularity and obvious advantages of minimal access surgery have prompted surgeons to apply its use to a variety of surgical diseases, including trauma-related conditions. This study retrospectively reviews and examines the safety and efficacy of laparoscopy and the formation of a diverting sigmoid loop colostomy through an abdominal wall trephine, in a limited number of carefully selected patients with isolated extra-peritoneal rectal injuries. The patient is thus spared a major laparotomy wound. The value of distal rectal washout and presacral drainage in such injuries is also examined.

Grantor dc:publisher.institution

Department of Surgery

Year dc:date.issued

2003

Author dc:creator

• Navsaria, Pradeep H

Advisor dc:contributor.advisor

• Kahn, Delawir

Language dc:language.iso

eng

Handle dc:identifier.uri

http://hdl.handle.net/11427/11005

OAI identifier oai:identifier

oai:open.uct.ac.za:11427/11005