Diseases of the colon and rectum · 1996
Fecal diversion in management of large infected perianal lesions.
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Ger R
Аннотация
PURPOSE: The purpose of this manuscript is to present a method of temporary fecal diversion.
METHODS: A tube was sutured into the anorectum of eight patients with large infected and/or necrotic perianal lesions that were being soiled and infected by the fecal stream. Five patients were diabetic, two had sacral pressure sores, and one suffered from hidradenitis suppurativa.
RESULTS: Tubes remained in place from 10 to 14 days, during which time the infective condition was brought under control. There were no complications.
CONCLUSIONS: The difficulties and disadvantages of current medical and surgical methods of controlling the fecal stream under these conditions are discussed, and the method presented is suggested as a viable and simple alternative.
METHODS: A tube was sutured into the anorectum of eight patients with large infected and/or necrotic perianal lesions that were being soiled and infected by the fecal stream. Five patients were diabetic, two had sacral pressure sores, and one suffered from hidradenitis suppurativa.
RESULTS: Tubes remained in place from 10 to 14 days, during which time the infective condition was brought under control. There were no complications.
CONCLUSIONS: The difficulties and disadvantages of current medical and surgical methods of controlling the fecal stream under these conditions are discussed, and the method presented is suggested as a viable and simple alternative.