Although the treatment strategy for colorectal trauma has advanced during the last part of the twentieth century and the result has improved, compared to other injuries, problems, such as high septic complication rates and mortality rates, still exist, so standard management for colorectal trauma is still a controversial issue. For that reason, we designed this article to address current recomm...

BACKGROUND Colon injuries are increasingly being treated safely by primary repair in spite of the high risk of septic complications. OBJECTIVE This is a retrospective study of the pattern, management and outcome in patients treated for penetrating colon injuries at Olabisi Onabanjo University Teaching Hospital, Sagamu over a 7 year period (January 1995-December 2001). PATIENTS AND METHODS R...

Background. Anal stenosis is a rare but serious complication of anorectal surgery. Severe anal stenosis is a challenging condition. Case Presentation. A 70-year-old Japanese man presented with a ten-hour history of continuous anal pain due to incarcerated hemorrhoids. He had a history of reducible internal hemorrhoids and was followed for 10 years. He had a fever and nonreducible internal hemor...

Background: : Radiotherapy is an important factor which results in increase of anastomosis leakage. Diverting loop ileostomy has been usually performed after colorectal anastomosis with history of neo-adjuvant radiotherapy to decrease the chance of leakage. Considering this effect, we assessed the feasibility and outcome of human amniotic membrane in rectal anastomosis in dogs previously treate...

However, in the remaining patients the disease is incurable owing to metastases or local invasion. Palliative resection provides good relief of local symptoms (obstruction, diarrhea, constipation, bleeding, pain, tenesmus and rectal discharge), but the mortality can be as high as 21% [11]. A simple alternative is a proximal diverting colostomy, but this can only relieve symptoms due to obstruct...

It is now generally accepted that proximal colostomy, temporary or permanent, is ineffective in the treatment of diverticular disease unless followed by resection. Pemberton et al. (1947) reported that 30% of the cases treated by a permanent colostomy were not controlled and that 70% of those whose colostomies were closed without resection had serious recurrent disease. Lloyd-Davies (1953) reco...