Fecal diversion in management of large infected perianal lesions

The purpose of this manuscript is to present a method of temporary fecal diversion. A tube was sutured into the anorectum of eight patients with large infected and/or necrotic perianal lesions that were being soiled and infected by the fecal stream. Five patients were diabetic, two had sacral pressure sores, and one suffered from hidradenitis suppurativa. Tubes remained in place from 10 to 14 days, during which time the infective condition was brought under control. There were no complications. The difficulties and disadvantages of current medical and surgical methods of controlling the fecal stream under these conditions are discussed, and the method presented is suggested as a viable and simple alternative.