Treatment of rectal war wounds

O.J.F. van Waes, Jens Halm, Stijn Vermeulen, VC McAlister

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Abstract

Treatment strategies for penetrating rectal injuries (PRI) in civilian settings are still not uniformly agreed, in part since high-energy transfer PRI, such as is frequently seen in military settings, are not taken into account. Here, we describe three cases of PRI, treated in a deployed combat environment, and outline the management strategies successfully employed. We also discuss the literature regarding PRI management. Where there is a major soft tissue component, repetitive debridement and vacuum therapy is useful. A loop or end colostomy should be used, depending on the degree of damage to the anal sphincter complex.
Original languageUndefined/Unknown
Pages (from-to)255-257
Number of pages3
JournalJournal of the Royal Army Medical Corps
Volume160
Issue number3
DOIs
Publication statusPublished - 2014

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