Management of traumatic perineal degloving injury: A case series

Degloving injury is severe and commonly results from a huge rotational force which avulses the skin and subcutaneous tissue from its underlying fascia. This injury is associated with high morbidity and mortality if mismanaged. Perineal degloving injury commonly associated with urethral injury whic...

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Main Authors:	Lee, C. Y., Syazwan, Abu, Omar, Syed F. S., Anuar, Syahril, Ab Rashid, Islah Munjih, Nazli, Mohd Z. M., Ghazali, Hamid
Format:	Article
Language:	English English
Published:	Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia 2019
Subjects:	R Medicine (General) RD Surgery
Online Access:	http://irep.iium.edu.my/76134/ http://irep.iium.edu.my/76134/ http://irep.iium.edu.my/76134/1/76134_Management%20of%20traumatic%20perineal%20degloving%20injury.pdf http://irep.iium.edu.my/76134/2/76134_Management%20of%20traumatic%20perineal%20degloving%20injury_SCOPUS.pdf

id	iium-76134
recordtype	eprints
spelling	iium-761342019-12-10T03:58:16Z http://irep.iium.edu.my/76134/ Management of traumatic perineal degloving injury: A case series Lee, C. Y. Syazwan, Abu Omar, Syed F. S. Anuar, Syahril Ab Rashid, Islah Munjih Nazli, Mohd Z. M. Ghazali, Hamid R Medicine (General) RD Surgery Degloving injury is severe and commonly results from a huge rotational force which avulses the skin and subcutaneous tissue from its underlying fascia. This injury is associated with high morbidity and mortality if mismanaged. Perineal degloving injury commonly associated with urethral injury which can be further classified into anterior and posterior urethral injury. This study retrospectively evaluated management of traumatic perineal degloving injury compared to standard approach. A total of 3 cases of open perineal degloving injuries been identified and was managed at our centre at the year 2017. 2 cases of degloving wound of scrotum and one case of crush perineal injury with transected posterior urethral were included. We reviewed methods of management and clinical outcomes of these patients. All patients promptly underwent wound debridement and surgical repair after immediate diagnosis and resuscitation. Suprapubic insertion of catheter is crucial in managing the urethral injury. The case of crush perineal injury with transected urethral treated with operation primary urethral anastomosis, de-functioning of stoma and external fixation of pelvis. Unfortunately, this case was complicated with rupture at anastomotic urethral site after a traumatic CBD insertion during his hospitalization and he was treated conservatively with CBD. All patients did well clinically with their wounds healed well. We showed a multidisciplinary team approach consisting of colorectal surgeon, urologist, orthopaedics surgeon and plastic surgeon, together with prompt diagnosis provides the best outcome were for the treatment of open perineal degloving injury. Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia 2019-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/76134/1/76134_Management%20of%20traumatic%20perineal%20degloving%20injury.pdf application/pdf en http://irep.iium.edu.my/76134/2/76134_Management%20of%20traumatic%20perineal%20degloving%20injury_SCOPUS.pdf Lee, C. Y. and Syazwan, Abu and Omar, Syed F. S. and Anuar, Syahril and Ab Rashid, Islah Munjih and Nazli, Mohd Z. M. and Ghazali, Hamid (2019) Management of traumatic perineal degloving injury: A case series. International Medical Journal Malaysia, 18 (Supplementary Issue 1). p. 9. E-ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/volume_18_supp/Final-Supplement-ECSS-2018-PDF-9.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	R Medicine (General) RD Surgery
spellingShingle	R Medicine (General) RD Surgery Lee, C. Y. Syazwan, Abu Omar, Syed F. S. Anuar, Syahril Ab Rashid, Islah Munjih Nazli, Mohd Z. M. Ghazali, Hamid Management of traumatic perineal degloving injury: A case series
description	Degloving injury is severe and commonly results from a huge rotational force which avulses the skin and subcutaneous tissue from its underlying fascia. This injury is associated with high morbidity and mortality if mismanaged. Perineal degloving injury commonly associated with urethral injury which can be further classified into anterior and posterior urethral injury. This study retrospectively evaluated management of traumatic perineal degloving injury compared to standard approach. A total of 3 cases of open perineal degloving injuries been identified and was managed at our centre at the year 2017. 2 cases of degloving wound of scrotum and one case of crush perineal injury with transected posterior urethral were included. We reviewed methods of management and clinical outcomes of these patients. All patients promptly underwent wound debridement and surgical repair after immediate diagnosis and resuscitation. Suprapubic insertion of catheter is crucial in managing the urethral injury. The case of crush perineal injury with transected urethral treated with operation primary urethral anastomosis, de-functioning of stoma and external fixation of pelvis. Unfortunately, this case was complicated with rupture at anastomotic urethral site after a traumatic CBD insertion during his hospitalization and he was treated conservatively with CBD. All patients did well clinically with their wounds healed well. We showed a multidisciplinary team approach consisting of colorectal surgeon, urologist, orthopaedics surgeon and plastic surgeon, together with prompt diagnosis provides the best outcome were for the treatment of open perineal degloving injury.
format	Article
author	Lee, C. Y. Syazwan, Abu Omar, Syed F. S. Anuar, Syahril Ab Rashid, Islah Munjih Nazli, Mohd Z. M. Ghazali, Hamid
author_facet	Lee, C. Y. Syazwan, Abu Omar, Syed F. S. Anuar, Syahril Ab Rashid, Islah Munjih Nazli, Mohd Z. M. Ghazali, Hamid
author_sort	Lee, C. Y.
title	Management of traumatic perineal degloving injury: A case series
title_short	Management of traumatic perineal degloving injury: A case series
title_full	Management of traumatic perineal degloving injury: A case series
title_fullStr	Management of traumatic perineal degloving injury: A case series
title_full_unstemmed	Management of traumatic perineal degloving injury: A case series
title_sort	management of traumatic perineal degloving injury: a case series
publisher	Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia
publishDate	2019
url	http://irep.iium.edu.my/76134/ http://irep.iium.edu.my/76134/ http://irep.iium.edu.my/76134/1/76134_Management%20of%20traumatic%20perineal%20degloving%20injury.pdf http://irep.iium.edu.my/76134/2/76134_Management%20of%20traumatic%20perineal%20degloving%20injury_SCOPUS.pdf
first_indexed	2023-09-18T21:47:38Z
last_indexed	2023-09-18T21:47:38Z
_version_	1777413556158857216

Management of traumatic perineal degloving injury: A case series

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