Slovenská chirurgia 4e/2023

Possibilities of minimally invasive surgery in addressing consequences of injuries in the anorectal area

Injuries in the anorectal area are not common but can be highly serious, resulting from penetrating trauma to the pelvis and perianal region, as well as severe blunt trauma often associated with pelvic fractures. They manifest with common clinical symptoms such as pain and bleeding. Delayed diagnosis of injuries and postponed surgical intervention increase the morbidity and mortality of patients. The authors present a case study of a patient with severe anorectal injury following a fall from a tree stump. The patient was treated at the surgical outpatient clinic 24 hours after the injury and, following early diagnosis, underwent an urgent surgical procedure. A revision of the anorectal area was performed, involving the extraction of foreign bodies and drainage of the canal for penetrating rectal injury. Subsequently, a laparoscopic examination of the abdominal cavity was conducted with the creation of a terminal sigmoidostomy and drainage of the abdominal cavity. The presented work highlights the potential of utilizing minimally invasive surgery in addressing the consequences of injuries in the anorectal region.

Keywords: injury, rectum, minimally invasive surgery