TY - JOUR T1 - Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma JF - Trauma Surgery & Acute Care Open JO - Trauma Surg Acute Care Open DO - 10.1136/tsaco-2019-000396 VL - 5 IS - 1 SP - e000396 AU - Megan Melland-Smith AU - Tyler R Chesney AU - Shady Ashamalla AU - Fred Brenneman Y1 - 2020/05/01 UR - http://tsaco.bmj.com/content/5/1/e000396.abstract N2 - Unlike intraperitoneal colorectal injuries, the standard of care for extraperitoneal rectal trauma includes a diverting colostomy due to relative inaccessibility of these injuries for primary repair. New technologies to enhance access to the extraperitoneal rectum have gained increasing use in benign and malignant rectal disease. We present two cases of low-velocity penetrating extraperitoneal rectal trauma. In both cases, a transanal minimally invasive surgery (TAMIS) approach was used to access, and primarily repair, full-thickness rectal lacerations. These patients were successfully managed without a colostomy and without complication. TAMIS enables access to distal rectal injuries, facilitating primary repair and bringing the management of extraperitoneal rectal injuries in line with intraperitoneal injuries, with the potential to avoid fecal diversion. ER -