Rectal Perforation During Pelvic Surgery
Rectal perforations during pelvic surgery are rare but serious complications. The occurrence of rectal involvement is generally lower than that of the involvement of other portions of the bowel. The urologic field is responsible for the majority of iatrogenic rectal injuries from pelvic surgery; gen...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | European Urology Open Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666168322000817 |
| _version_ | 1811264990927126528 |
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| author | Bernardo Rocco Gaia Giorgia Assumma Simone Calcagnile Tommaso Sangalli Mattia Terzoni Stefano Eissa Ahmed Bozzini Giorgio Bernardino De Concilio Antonio Celia Micali Salvatore Maria Chiara Sighinolfi |
| author_facet | Bernardo Rocco Gaia Giorgia Assumma Simone Calcagnile Tommaso Sangalli Mattia Terzoni Stefano Eissa Ahmed Bozzini Giorgio Bernardino De Concilio Antonio Celia Micali Salvatore Maria Chiara Sighinolfi |
| author_sort | Bernardo Rocco |
| collection | DOAJ |
| description | Rectal perforations during pelvic surgery are rare but serious complications. The occurrence of rectal involvement is generally lower than that of the involvement of other portions of the bowel. The urologic field is responsible for the majority of iatrogenic rectal injuries from pelvic surgery; general and gynecologic surgeries are prone to the occurrence as well, the latter especially in the case of rectal shaving for deep infiltrating endometriosis. Attention should be posed to the prevention of rectal injuries, especially in case of challenging or salvage procedures; some tricks may be recommended to avoid thermal and mechanical damages and to realize a safe dissection. Intraoperative detection of rectal injuries is of paramount importance; once confirmed, immediate management with the closure of the defect is recommended. In general, rectal injuries diagnosed after surgery are liable to significantly worse outcomes than those detected and managed intraoperatively. Patient summary: Rectal perforation is a rare but possible complication of pelvic surgeries. The more challenging the procedure (ie, surgery for locally advanced tumors or after radiation therapy), the higher the risk of rectal lesion. Intraoperative management of the injury should be attempted, with direct repair of the defect with or without fecal diversion. |
| first_indexed | 2024-04-12T20:14:30Z |
| format | Article |
| id | doaj.art-1d457c0f6f7244d390ba9444a6388e92 |
| institution | Directory Open Access Journal |
| issn | 2666-1683 |
| language | English |
| last_indexed | 2024-04-12T20:14:30Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | European Urology Open Science |
| spelling | doaj.art-1d457c0f6f7244d390ba9444a6388e922022-12-22T03:18:10ZengElsevierEuropean Urology Open Science2666-16832022-10-01445459Rectal Perforation During Pelvic SurgeryBernardo Rocco0Gaia Giorgia1Assumma Simone2Calcagnile Tommaso3Sangalli Mattia4Terzoni Stefano5Eissa Ahmed6Bozzini Giorgio7Bernardino De Concilio8Antonio Celia9Micali Salvatore10Maria Chiara Sighinolfi11Department of Urology, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy; Corresponding author. Department of Urology, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy. Tel. +39 335 830 6522.Department of Gynecology, ASST Santi Paolo e Carlo, University of Milan, Milan, ItalyDepartment of Urology, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy; Department of Urology, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Urology, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy; Department of Urology, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Urology, ASST Santi Paolo e Carlo, University of Milan, Milan, ItalySIG Group on Continence Care, European Association of Urology Nurses, ASST Santi Paolo e Carlo, University of Milan, Milan, ItalyDepartment of Urology, Faculty of Medicine, Tanta University, Tanta, EgyptDepartment of Urology, ASST Lariana, Como, ItalySan Bassiano Hospital, Bassano Del Grappa, Vicenza, ItalySan Bassiano Hospital, Bassano Del Grappa, Vicenza, ItalyDepartment of Urology, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Urology, ASST Santi Paolo e Carlo, University of Milan, Milan, ItalyRectal perforations during pelvic surgery are rare but serious complications. The occurrence of rectal involvement is generally lower than that of the involvement of other portions of the bowel. The urologic field is responsible for the majority of iatrogenic rectal injuries from pelvic surgery; general and gynecologic surgeries are prone to the occurrence as well, the latter especially in the case of rectal shaving for deep infiltrating endometriosis. Attention should be posed to the prevention of rectal injuries, especially in case of challenging or salvage procedures; some tricks may be recommended to avoid thermal and mechanical damages and to realize a safe dissection. Intraoperative detection of rectal injuries is of paramount importance; once confirmed, immediate management with the closure of the defect is recommended. In general, rectal injuries diagnosed after surgery are liable to significantly worse outcomes than those detected and managed intraoperatively. Patient summary: Rectal perforation is a rare but possible complication of pelvic surgeries. The more challenging the procedure (ie, surgery for locally advanced tumors or after radiation therapy), the higher the risk of rectal lesion. Intraoperative management of the injury should be attempted, with direct repair of the defect with or without fecal diversion.http://www.sciencedirect.com/science/article/pii/S2666168322000817Rectal perforationComplicationIatrogenicPelvic surgeryMinimally invasive surgery |
| spellingShingle | Bernardo Rocco Gaia Giorgia Assumma Simone Calcagnile Tommaso Sangalli Mattia Terzoni Stefano Eissa Ahmed Bozzini Giorgio Bernardino De Concilio Antonio Celia Micali Salvatore Maria Chiara Sighinolfi Rectal Perforation During Pelvic Surgery European Urology Open Science Rectal perforation Complication Iatrogenic Pelvic surgery Minimally invasive surgery |
| title | Rectal Perforation During Pelvic Surgery |
| title_full | Rectal Perforation During Pelvic Surgery |
| title_fullStr | Rectal Perforation During Pelvic Surgery |
| title_full_unstemmed | Rectal Perforation During Pelvic Surgery |
| title_short | Rectal Perforation During Pelvic Surgery |
| title_sort | rectal perforation during pelvic surgery |
| topic | Rectal perforation Complication Iatrogenic Pelvic surgery Minimally invasive surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2666168322000817 |
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