TREATMENT OF SEVERE RECTAL INJURY WITH DAMAGE TO THE EXTERNAL SPHINCTER IN CHILDREN



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Abstract

Material and methods. Over 30 years, under supervision there were 6 children of 3 and 18 years, with severe injuries of the rectum and anus. In the diagnosis there was used history, examination, catheterization of the bladder, ultrasound, vaginal and rectoscopy, x-ray diagnostic methods. Results and discussion. Two 3 and 6 years old girls were raped. All had damage not only to the perineum and vagina, but also to the vaginal-rectal septum, rectum, and sphincter. In one child, damage to the rectum and anus occurred during surgery for rectal atresia. Surgical intervention was performed by perineal access. In three adolescents, an injury to the pelvic organs with damage to the rectum, anus, and pelvic bones was a consequence of traffic accidents. Two of them died from traumatic brain injury. The author presents three clinical observations. Conclusion. Combined injuries of the rectum and sphincter are serious injuries. Signs of shock, internal bleeding, open and closed fractures may come to the fore. Assistance to injured children should be carried out in specialized institutions. The main method of the treatment of severe injuries of the sphincter of the rectum is the closure of the sphincter defect

About the authors

A. E. Solovyov

Ryazan State Medical University

Author for correspondence.
Email: beerzombie@rambler.ru
Russian Federation

References

  1. Агаджанян В.В. Политравма. Лечение детей. Новосибирск: 2014.
  2. Гераськин А.В. Хирургия живота и промежности у детей. М.: ГЭОТАР-Медиа; 2012
  3. Куликов Е.П., Рязанцев М.Е., Зубарева Т.П. Динамика заболеваемости и смертности от злокачественных новообразований в Рязанской области в 2004-2014 гг. Российский медико-биологический вестник имени академика И.П. Павлова. 2015; 4: 109-15.
  4. Лёнюшкин А.И. Проктология детского возраста. М.: Медицина; 1976
  5. Weinberg G.D., Matalon T.A., Brunner M.C. et al. Bleeding stomal varices: treatment with a transjugular intrahepatic portosystemic shunt in two pediatric patients. J. Vasc. Intervent. Radiol. 2001; 6: 233-6.
  6. Bianchi A. Longitudinal intestinal lengthening and tailoring: results in 20 children. J. R. Soc. Med. 1997; 90: 429-32.
  7. Воробьев Г.И. Основы колопроктологии. М.: Мед. информ. агентство; 2006.
  8. Дмитриева О.А. Судебно-медицинская оценка повреждений аноректальной области и прямой кишки при насильственных действиях сексуального характера. Судебно - медицинская экспертиза. 2011; 54 (2): 23-6.
  9. Маматкулов Б.М. Врожденные аномалии как причина детской инвалидности. Наука молодых (Eruditio Juvenium). 2015; 2: 110-115.
  10. Подкаменев В.В. Хирургические болезни у детей. М.; 2015.
  11. AGA technical review on short bowel syndrome and intestinal transplantation. Gastroenterology. 2003; 124: 1111-34.
  12. Hendly P.O. Enhanced recovery after Surgery Study group. Determinants of outcome after colorectal resection within an enhanced programme. Br. J. Surg. 2009; 96: 197-205.
  13. Разумовский А.Ю., Дронов А.Ф. Детская хирургия. Национальное руководство. М.: ГЭОТАР-Медиа; 2016.
  14. Филипс Р.К.С. Колоректальная хирургия. М.: ГЭОТАР-Медиа; 2009. 352 с.
  15. Keighley M.R.B., Williams N.S. (eds). Intestinal fistula. In: Surgery of the anus, rectum and colon. London: W.B. Saunders; 1993: 2014-43.
  16. Юнусов Д.И., Миронов П.И., Александрович Ю.С., Пшениснов К.В. Прогностическая ценность шкал оценки тяжести состояния детей с сочетанной травмой. Детская хирургия. 2017; 4: 207-10.
  17. Поддубный И.В., Трунов В.О., Козлов М.Ю., Щербакова О.В., Мордвин П.А., Манукян С.Р. Эндохирургическое лечение выпадения прямой кишки у детей. Детская хирургия. 2017; 4: 238-40.

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