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Source Control pp 114-120 | Cite as

Infection and Trauma of the Rectum and Anus

  • Per-Olof Nyström
Chapter
  • 126 Downloads

Abstract

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.

Keywords

Necrotizing Fasciitis External Sphincter Perianal Abscess Rectal Injury External Orifice 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer-Verlag Berlin Heidelberg 2003

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  • Per-Olof Nyström

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