In contrast to western literature, where lower gastrointestinal tract perforations predominate, upper gastrointestinal tract perforations constitute the majority of cases in India. The increasing incidence of post-traumatic gastro-enteric injuries may be due to an increase in high speed motor vehicle accidents which warrant early recognition and prompt treatment to avoid serious complications and death.

Preoperative resuscitation, then resection with exteriorization of bowel and thorough peritoneal lavage, is the treatment for bowel injury incurred during induced abortion when the patient presents late.

No abstract

An accurate delineation of the surgical anatomy of perianal inflammatory disease is vital before surgery to prevent postoperative recurrence and incontinence. The purpose of this study was to evaluate the use of transperineal sonography for evaluating perianal inflammatory disease. Thirty patients (23 males and 7 females) with clinically suspected perianal inflammatory disease were imaged with transperineal sonography in males and transperineal and transvaginal sonography in females. All fluid collections, sinus tracts, and fistulae were evaluated in relation to the sphincters and perineum. Twenty-seven of the 30 patients had fistulae: 7 intersphincteric, 17 transphincteric, and 1 extrasphincteric fistula. Three patients had perianal fluid collections with sinus tracts. Preoperative sonographic findings were confirmed in 23 patients. Thirty-one internal openings seen on sonography were confirmed on surgery. The authors conclude that transperineal and transvaginal sonography are accurate and painless methods for documenting perianal inflammatory disease.

No abstract

The Publisher regrets that this article was an accidental duplication of an article that has already been published in The Antiseptic, 101 (2004) 45. The duplicate article has therefore been withdrawn.