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PubMed · 8252062

Future directions.

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G S Brindley. 1993. Future directions.. https://doi.org/10.1002/nau.1930120517

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Fecal diversion in management of large infected perianal lesions.

PURPOSE: The purpose of this manuscript is to present a method of temporary fecal diversion. METHODS: A tube was sutured into the anorectum of eight patients with large infected and/or necrotic perianal lesions that were being soiled and infected by the fecal stream. Five patients were diabetic, two had sacral pressure sores, and one suffered from hidradenitis suppurativa. RESULTS: Tubes remained in place from 10 to 14 days, during which time the infective condition was brought under control. There were no complications. CONCLUSIONS: The difficulties and disadvantages of current medical and surgical methods of controlling the fecal stream under these conditions are discussed, and the method presented is suggested as a viable and simple alternative.

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