To the Editor: The long-term functional outcomes in the three cases of swimming pool filter-induced transrectal evisceration described by Price and colleagues1 are excellent and significantly better than many other cases described in the literature. However, it may be possible to improve further on such results, or at least decrease short-term morbidity, by expediting the reduction of the eviscerated bowel.
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- Royal Darwin Hospital and Flinders University NT Clinical School, Darwin, NT.
- 1. Price NR, Soundappan SV, Sparnon AL, Cass DT. Swimming pool filter-induced transrectal evisceration in children: Australian experience. Med J Aust 2010; 192: 534-536. <MJA full text>
- 2. Kushimoto S, Miyauchi M, Yokota H, Kawai M. Damage control surgery and open abdominal management: recent advances and our approach. J Nippon Med Sch 2009; 76: 280-290.
- 3. Rotondo MF, Schwab CW, McGonigal MD, et al. ‘Damage control’: an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma 1993; 35: 375-382.