PT  - JOURNAL ARTICLE
AU  - Megan Melland-Smith
AU  - Tyler R Chesney
AU  - Shady Ashamalla
AU  - Fred Brenneman
TI  - Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma
AID  - 10.1136/tsaco-2019-000396
DP  - 2020 May 01
TA  - Trauma Surgery & Acute Care Open
PG  - e000396
VI  - 5
IP  - 1
4099  - http://tsaco.bmj.com/content/5/1/e000396.short
4100  - http://tsaco.bmj.com/content/5/1/e000396.full
SO  - Trauma Surg Acute Care Open2020 May 01; 5
AB  - Unlike intraperitoneal colorectal injuries, the standard of care for extraperitoneal rectal trauma includes a diverting colostomy due to relative inaccessibility of these injuries for primary repair. New technologies to enhance access to the extraperitoneal rectum have gained increasing use in benign and malignant rectal disease. We present two cases of low-velocity penetrating extraperitoneal rectal trauma. In both cases, a transanal minimally invasive surgery (TAMIS) approach was used to access, and primarily repair, full-thickness rectal lacerations. These patients were successfully managed without a colostomy and without complication. TAMIS enables access to distal rectal injuries, facilitating primary repair and bringing the management of extraperitoneal rectal injuries in line with intraperitoneal injuries, with the potential to avoid fecal diversion.