PDF(Pubmed)
Abstract：
A male in his early 30s was transported to the emergency room after being hit by a vehicle while inebriated and lying in the street. His general condition was stable; however, he had a perineal laceration that extended to the coccyx. Due to the proximity of the wound margin to the anus, we were concerned regarding the potential contamination and opted not to suture it. Therefore, we refrained from suturing the wound and kept the wound open after irrigation and debridement. Additionally, we performed a transverse colostomy. On day 4, we initiated negative pressure wound therapy for 40 days, during which sufficient wound granulation occurred. The patient was discharged, and the colostomy was closed approximately 4 months after the injury. Our case illustrates the effectiveness of negative pressure wound therapy in managing perineal lacerations.
摘要：
一名30多岁的男性在醉酒和躺在街上时被车撞后被送往急诊室。他的一般情况稳定；然而，他会阴裂伤延伸到尾骨。由于伤口边缘靠近肛门，我们担心潜在的污染，并选择不缝合它。因此,我们避免缝合伤口，并在冲洗和清创后保持伤口开放。此外,我们做了横向结肠造口术.在第4天，我们开始了40天的负压伤口治疗，在此期间发生足够的伤口肉芽。病人出院了,伤后约4个月关闭结肠造口术。我们的案例说明了负压伤口治疗在治疗会阴裂伤中的有效性。
