Anal Wound and Sphincter Repair from under Its Floor by Buried Stitches.

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dc.contributor.authorLasheen, Ahmed E.
dc.contributor.authorSafwat, Khaled
dc.contributor.authorGharib, Osama
dc.contributor.authorAllam, Zaki
dc.contributor.authorAwad, Wael
dc.contributor.authorKhalil, Osama
dc.contributor.authorElaa, Salah Abd
dc.date.accessioned2017-01-03T05:07:20Z
dc.date.available2017-01-03T05:07:20Z
dc.date.issued2015
dc.description.abstractObjective: Blunt and penetrating injuries to the anus and rectum are uncommon. Considerable debate remains regarding the optimal treatment of anorectal injuries. This report offers a technique for repair of anorectal wound from under its floor. Design: The anorectal wound was repaired by multiple double incomplete circular stitches under its floor. Setting: This study was conducted in the General Surgery Department, Zagazig University Hospital, Egypt. Patients: This study was undertaken on 20 patients (15 male and 5 female with mean age of 40.7 years) with anorectal wounds from April 2012 to May 2014. Interventions: Under general or spinal anesthesia, primary repair of anorectal wounds by special stitches passed under the wound floor not crossing the wound edges, without fecal diversion and presacral drainage. Results: In 12 patients, the technique was done under general anesthesia and the remainder under spinal anesthesia. The anorectal wounds were healed within 8 weeks. Early complications included superficial wound infection in 15 patients, urine retention in 9 patients, and transient incontinence in 18 patients for period ranged from 4 to 6 weeks. No permanent incontinence, no deep infection, no abscess or fistular formation, no keyhole deformity, and no mortality were recorded. Conclusion: Our technique for primary repair of anal wound and sphincter is simple, effective, and no need for fecal diversion or presacral drainage.en_US
dc.identifier.citationLasheen Ahmed E., Safwat Khaled, Gharib Osama, Allam Zaki, Awad Wael, Khalil Osama, Abd Elaa Salah.Anal Wound and Sphincter Repair from under Its Floor by Buried Stitches. British Journal of Medicine and Medical Research. 2015; 9(5): 1-6.en_US
dc.identifier.issn2231-0614
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/180962
dc.language.isoenen_US
dc.source.urihttps://www.sciencedomain.org/abstract/9932en_US
dc.subjectAnarectal wound repairen_US
dc.subjectburied stitchesen_US
dc.titleAnal Wound and Sphincter Repair from under Its Floor by Buried Stitches.en_US
dc.typeArticleen_US
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