Conservative management of rectal perforation after nerve sparing endoscopic extraperitoneal radical prostatectomy (NSEERPE) in a patient with a past history of polypectomy
| العنوان: | Conservative management of rectal perforation after nerve sparing endoscopic extraperitoneal radical prostatectomy (NSEERPE) in a patient with a past history of polypectomy |
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| المؤلفون: | C.G. Stief, Patrick J. Bastian, Wael Khoder, Armin J. Becker, Boris Schlenker, Stefan Tritschler |
| المصدر: | European Journal of Medical Research European Journal of Medical Research, Vol 14, Iss 7, p 320 (2009) |
| بيانات النشر: | BioMed Central, 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Nerve sparing, Conservative management, medicine.medical_treatment, Perforation (oil well), lcsh:Medicine, Case Report, Postoperative Complications, Medicine, Humans, Digestive System Surgical Procedures, Aged, Prostatectomy, Prostate cancer, Rectum perforation, medicine.diagnostic_test, business.industry, General surgery, (nsEERPE), lcsh:R, Prostatic Neoplasms, Endoscopy, General Medicine, Polypectomy, Past history, Rectal Diseases, Rectal Perforation, business |
| الوصف: | Introduction Rectal polypectomy causes thinning (or even perforation) of the rectal wall in addition to thermic injury at the polypectomy site. Case report We present a rare case of spontaneous rectal perforation after uncomplicated nerve sparing endoscopic extraperitoneal radical prostatectomy in a patient with a previous history of rectal polypectomy at the perforation site. The patient could be treated conservatively. There was complete healing of the fistula without any effect on functional results. This Conservative therapy for such rectal perforations is indicated if the patient's general condition remains stable without any signs of infection. Conclusions Polypectomy is an important risk factor for rectal perforation during nsEERPE. Adequate time interval should be given to allow healing and avoid adding further thermal wall damage which may obscure healing leading to complications like fistula. Conservative therapy for small missed rectal perforations constitutes an attractive, feasible and non invasive treatment entity. Following this principle we have not faced this complication in following similar cases. |
| اللغة: | English |
| تدمد: | 2047-783X 0949-2321 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d65e4de4752955713cb0d736bea2286cTest http://europepmc.org/articles/PMC3458643Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d65e4de4752955713cb0d736bea2286c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 2047783X 09492321 |
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