ART OF MEDICINE 2017
INJURIES OF PERINEUM AND SMALL PELVIC ORGANS, DIAGNOSIS AND TREATMENT FEATURES
P.V. Solomchak1, I.K. Churpiy2, R.V. Sabadosh2, A.E. Bohush1, A.Ya. Pasko1, I.V. Bilyk1
1Central City Clinical Hospital.
2Ivano-Frankivsk National Medical University. Ivano-Frankivsk, Ukraine.
Abstract: Injuries of the perineum are not common in everyday life and amount to 1%. In the literature, cases of domestic injuries of the perineum by an outward body are rather rarely described. Often there are publications about injuries of the rectum by an outsider from inside, injuries of the scrotum, breaks in the perineum during childbirth. Injuries of perineum can lead to severe long-term consequences and sudden death at the time of injury and in case of late delivery to emergency medical care. The purpose of our work is to prove and remind practitioners of the complexity of this type of injury. The clinical case of treatment of perineal trauma in CICL after the provision of incomplete first aid in a district hospital has been offered to your attention. The patient was injured in the perineum and he was taken to hospital in a state of traumatic shock. After the emergency antishock assistance, surgical intervention was conducted by a team of surgeons with the participation of a vascular surgeon and proctologist. Intraoperatively, the damage of the branches of the right inner iliac artery and the muscular layer of the rectum wall was detected. Operative intervention included the final stop of bleeding by revision and dressing the right inner iliac artery and sewing the rectum wall. The patient has been satisfactorily discharged from the hospital. Intravenous injuries are classified as complex injuries, requiring coordinated work of surgeons of different profiles. Insufficient assessment of the patient's condition can lead to lethal consequences.
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