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

• Main Author: Navsaria, Pradeep H
• Other Authors: Kahn, Delawir
• Format: Dissertation
• Language: English
• Published: University of Cape Town 2015
• Subjects: Surgery
• Online Access: http://hdl.handle.net/11427/11005

Includes bibliographical references. === 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.