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Traumatismo con lesión perineal extensa" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="fig0005"></elsevierMultimedia></p><p id="par0010" class="elsevierStylePara elsevierViewall">Anal sphincter injury is a therapeutic challenge. We present a complex repair in a setting with limited resources.</p><p id="par0015" class="elsevierStylePara elsevierViewall">A 17-year-old female suffered an accident with great perineal trauma, arriving at our medical center 7 days after the accident. She presented significant sepsis and complete incontinence<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a>.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Significant injury was observed to the perineal body, sphincters and rectal wall. The vaginal wall remained intact.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Sphincter reconstruction and associated colostomy were planned. During the postoperative period, we observed progressive dehiscence of the sutures, requiring revision surgery with a second sphincter repair.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The patient’s evolution was slow but showed favorable healing and satisfactory final results 3 months later.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0040" class="elsevierStylePara elsevierViewall">The following is Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:2 [ 0 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 44794074 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] 1 => array:5 [ "identificador" => "fig0005" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => false "mostrarDisplay" => true "figura" => array:1 [ 0 => array:4 [ "imagen" => "fx1.jpeg" "Alto" => 971 "Ancho" => 1258 "Tamanyo" => 163157 ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anal sphincter repair for fecal incontinence: experience from a tertiary care centre" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Chase" 1 => "R. Mittal" 2 => "M.R. Jesudason" 3 => "S. Nayak" 4 => "B. Perakath" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s12664-010-0037-9" "Revista" => array:6 [ "tituloSerie" => "Indian J Gastroenterol." "fecha" => "2010" "volumen" => "29" "paginaInicial" => "162" "paginaFinal" => "165" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20694541" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effect of age, patient’s sex, and type of trauma on the correlation between size of sphincter defect and anal pressures in posttraumatic fecal incontinence" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S.H. Emile" 1 => "M. Youssef" 2 => "H. Elfeki" 3 => "W. Thabet" 4 => "H. Elgendy" 5 => "W. Omar" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.surg.2016.05.020" "Revista" => array:6 [ "tituloSerie" => "Surgery." "fecha" => "2016" "volumen" => "160" "paginaInicial" => "1318" "paginaFinal" => "1325" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27392390" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000010100000007/v1_202307111140/S217350772300073X/v1_202307111140/en/main.assets" "Apartado" => array:4 [ "identificador" => "74681" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Video of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000010100000007/v1_202307111140/S217350772300073X/v1_202307111140/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217350772300073X?idApp=UINPBA00004N" ]
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Video of the month
Sphincter repair in a hospital with limited resources. Trauma with extensive perineal injury
Reparación esfinteriana en hospital con recursos limitados. Traumatismo con lesión perineal extensa
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