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Blunt pelviperineal injuries

An expanded role for the diverting colostomy

  • Published:
Diseases of the Colon & Rectum

Abstract

The combination of blunt pelvic and perineal injuries is relatively uncommon but carries with it a high morbidity and mortality. A colostomy with distal wash-out plays a significant role in the prophylaxis of septic complications, even in the absence of recognizable colorectal trauma. Among 14 patients with this type of injury, there were six deaths (42 per cent). Three patients died initially because of hemorrhage, and three late deaths were due to sepsis. Two of these patients had no colostomy, and one had a diversion without wash-out. The indications for proximal diversion should be broadened to include an expanded view of the perincum, herein presented.

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Authors and Affiliations

  1. Department of Surgery, Charleston Area Medical Center, West Virginia University Medical School, Charleston Division, 3110 MacCorkle Avenue, S.E., 25304, Charleston, West Virginia

    Roberto E. Kusminsky M.D., Imad Shbeeb M.D., George Makos M.D. & James P. Boland M.D.

Authors
  1. Roberto E. Kusminsky M.D.
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  2. Imad Shbeeb M.D.
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  3. George Makos M.D.
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  4. James P. Boland M.D.
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Additional information

Read at the meeting of the American Society of Colon and Rectal Surgeons, San Francisco, California, May 2 to 6, 1982.

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Cite this article

Kusminsky, R.E., Shbeeb, I., Makos, G. et al. Blunt pelviperineal injuries. Dis Colon Rectum 25, 787–790 (1982). https://doi.org/10.1007/BF02553312

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  • DOI: https://doi.org/10.1007/BF02553312

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