Abstract
Traumatic non obstetrical perinea wounds are rare. Their serouisness and their etiologies are different in Occidental World and in the Developing Countries. We conducted a retrospective study on a five years basis to determine their epidemiological, clinical and therapeutic aspects at the University Teaching Hospital Yalgado Ouédraogo. We examined 9 cases over 4 years. Five men and 4 women, aged 13 to 60, were involved. They were from rural origins in 6 cases and from urban origins in 3. The most frequent mechanism of wounding was impalement, observed in 8 cases and the causal agent was bovid horn goring in 4 cases. Initial physical examination revealed an isolated perinea wound in 5 patients. The other 4 patients presented a ruptured anal sphincter and a rectal wound. A large spectrum antibiotherapy and an anti tetanus vaccination were systematically given. All patents immediately benefitted from a wound excision. Left lateral colostomy diversion was performed on 5 patients and all sphincteric wounds were tended to in first intention with dissection and suture. Complications presented were 1 case of wound infection, 1 acute intestinal obstruction by adhesions on a patient who had a colostomy and 1 anal incontinence (feces and gas). There was no mortality. Prognostic improvement comes from wound excision, antibiotherapy and diversion colostomy.
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