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Infection and Trauma of the Rectum and Anus

  • Per-Olof Nyström


Perianal Abscess and Infected Fistulae • Perform incision and curettage for drainage of abscess. • Lay open associated low fistula. • Insert seton in high fistula. • Do not insert drains or pack wounds. • Antibiotics are of uncertain value. Fournier's Gangrene • Emergency surgery is required. • Broad-spectrum antibiotics should be used. • Wide excision of necrotic tissue is necessary. • Leave wounds open and plan for revision. • Diverting stoma is usually not necessary. Anal and Perineal Trauma • Debride devitalized tissue. • Suture external sphincter if possible. • Leave wounds open. • Diverting stoma is usually not necessary. Rectal Trauma • Perform a defunctioning sigmoidostomy. • Suture rectal wounds. • Drain the presacral space. • Perform a rectal washout.


Necrotizing Fasciitis External Sphincter Perianal Abscess Rectal Injury External Orifice 
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© Springer-Verlag Berlin Heidelberg 2003

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  • Per-Olof Nyström

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