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The management of penetrating rectal and anal trauma: A systematic review

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Anastomotic insufficiency in patients with colorectal anastomosis is a major complication with high morbidity and mortality. Local treatment with transrectal lavage and drainage can be considered in patient without peritonitis. In order to prevent prolonged wound closure and secondary complications during conservative treatment we investigated the vacuum assisted closure VAC in this setting. Time for wound healing, duration of hospitalization and pain assessment were compared in both groups.
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Gastric lavage , also commonly called stomach pumping or gastric irrigation , is the process of cleaning out the contents of the stomach. Since its first recorded use in early 19th century, it has become one of the most routine means of eliminating poisons from the stomach. They may also be used before surgery , to clear the contents of the digestive tract before it is opened. Apart from toxicology, gastric lavage or nasogastric lavage is sometimes used to confirm levels of bleeding from the upper gastrointestinal tract.

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