scholarly journals Management of Rectourethral Fistula following a Gunshot Injury with Gracilis Flap: A Case Report

2017 ◽  
Vol 4 (1) ◽  
pp. 23-25
Author(s):  
Mutlu Değer ◽  
Fatih Gökalp ◽  
Eyüphan Gencel ◽  
Erkan Demir ◽  
Zühtü Tansuğ
2006 ◽  
Vol 63 (2) ◽  
pp. 177-179 ◽  
Author(s):  
Dragan Ignjatovic ◽  
Mile Ignjatovic ◽  
Miodrag Jevtic

Background. To present a patient with an indirect blast rupture of the head of pancreas, as well as with a blast contusion of the duodenum following abdominal gunshot injury. Case report. A patient with the abdominal gunshot injury was submitted to the management of the injury of the liver, gaster and the right kidney in the field hospital. The revealed rupture of the head of the pancreas and the contusion of the duodenum were managed applying the method of Whipple. Conclusion. Indirect blast injuries require extensive surgical interventions, especially under war conditions.


Author(s):  
Dana Turliuc ◽  
Serban Turliuc ◽  
Iustin Mihailov ◽  
Andrei Cucu ◽  
Gabriela Dumitrescu ◽  
...  

2012 ◽  
Vol 21 (3) ◽  
pp. 259-262 ◽  
Author(s):  
KAMİL BOYACIOĞLU ◽  
FUAT BÜYÜKBAYRAK ◽  
EYLEM YAYLA TUNÇER ◽  
ADNAN AK ◽  
HIZIR METE ALP
Keyword(s):  

F1000Research ◽  
2017 ◽  
Vol 5 ◽  
pp. 2891 ◽  
Author(s):  
Shrikant Jai ◽  
Arvind Ganpule ◽  
Abhishek Singh ◽  
Mohankumar Vijaykumar ◽  
Vinod Bopaiah ◽  
...  

High intensity focused ultrasound (HIFU) has come forward as alternative treatment for carcinoma of the prostate. Though minimally invasive,HIFUhas potential side effects. Urethrorectal fistula is one such rare side effect. Management of these fistulas has been described by Vanni et al. This case report describes points of technique that will help successful management of resilient rectourethral fistula. Urinary and faecal diversion in the form of suprapubic catheter and colostomy is vital. Adequate time between stoma formation, fistula closure and then finally stoma closure is needed. Lithotomy position and perineal approach gives best exposure to the fistula. The rectum should be dissected 2cm above the fistula; this aids in tension free closure of the rectal defect. Similarly buccal mucosal graft was used on the urethra to achieve tension free closure. A good vascular pedicle gracilis muscle flap is used to interpose between the two repairs. This not only provides a physical barrier but also provides a vascular bed for BMG uptake. Perfect haemostasis is essential, as any collection may become a site of infection thus compromising results.  We strongly recommend rectourethral fistula be directly repaired with gracilis muscle flap with reinforced buccal mucosa graft without attempting any less invasive repairs because the “first chance is the best chance”.


2021 ◽  
Vol 7 (11) ◽  
pp. 101823-101830
Author(s):  
Heloiza Fiamoncini ◽  
Djulia Adriani Frainer ◽  
Carolina da Silveira Welter ◽  
Claudia Theis ◽  
Dayana Talita Galdino

1970 ◽  
Vol 17 (2) ◽  
pp. 144-146
Author(s):  
Nitin Gupta ◽  
RC Yadav

Introduction: In this era use of firearms has become more prevalent in society. There is increase in numbers of firearm homicidal and suicidal victims. Injuries from gunshot wounds of head and neck vary in extant and significance, forming a spectrum from trivial to life threatening lesions. The head and neck have many vital structures confined to a small area of body, and hence in the event of head and neck trauma, there is greater potential of leading to a fatality. Case report: We report a case of homicidal gunshot injury (close range) sustained in the neck region, with the bullet having travelled through the neck without causing any mortality and little morbidity to the victim. Conclusion: Penetrating through and through, gunshot injury neck without causing any mortality and any significant morbidity is a very amazing incidence. Key words: Firearm; Gunshot; Bullet; Homicidal; Close range injury DOI: http://dx.doi.org/10.3329/bjo.v17i2.8857 BJO 2011; 17(2): 144-146


2008 ◽  
Vol 11 (3) ◽  
pp. E193-E194 ◽  
Author(s):  
Adlan Olsun ◽  
C. Duzyol ◽  
A. K. Gur ◽  
M. Kaplan ◽  
S. Sahin ◽  
...  
Keyword(s):  

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