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

Navsaria, Pradeep H

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

Master Thesis

2003

Publisher

University of Cape Town

Department

Department of Surgery

Faculty

Faculty of Health Sciences

Abstract

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.

Description

Includes bibliographical references.

Keywords

Surgery

Reference:

Collections

Masters

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