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Trauma of the Colon, Rectum, and Anus

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Abstract

The management of colonic trauma has evolved considerably over the past century and a half. The initial futility of abdominal surgery during the American Civil War gave way to mandatory colostomy in World War II. Recent well-done trials have now demonstrated the safety of primary repair in most patients, although care must still be used in damage-control situations. Extraperitoneal rectal trauma is typically managed by proximal diversion; the utility of routine distal washout and presacral drainage has recently been called into question. Anal trauma lends itself to delayed reconstruction in many cases.

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Author information

Authors and Affiliations

  1. Audie L. Murphy VA Medical Center, 7400 Merton Minter Blvd., Mail Code 112, San Antonio, TX, 78254, USA

    W. Brian Perry M.D., F.A.S.C.R.S.

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  1. W. Brian Perry M.D., F.A.S.C.R.S.
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Correspondence to W. Brian Perry M.D., F.A.S.C.R.S. .

Editor information

Editors and Affiliations

  1. Division of Colorectal Surgery, University Hospitals Case Medical Center Case Western Reserve University, Cleveland, OH, USA

    Scott R. Steele

  2. Cleveland Clinic, Cleveland, OH, USA

    Tracy L. Hull

  3. Tufts University School of Medicine, Lahey Hospital & Medical Center, Burlington, MA, USA

    Thomas E. Read

  4. Ambrose and Gladys Bowyer, Loyola University, Chicago, IL, USA

    Theodore J. Saclarides

  5. University of Texas Medical Branch at Galveston, Galveston, TX, USA

    Anthony J. Senagore

  6. Ochsner Medical Center, New Orleans, LA, USA

    Charles B. Whitlow

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© 2016 ASCRS (American Society of Colon and Rectal Surgeons)

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Perry, W.B. (2016). Trauma of the Colon, Rectum, and Anus. In: Steele, S.R., Hull, T.L., Read, T.E., Saclarides, T.J., Senagore, A.J., Whitlow, C.B. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-25970-3_43

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  • DOI: https://doi.org/10.1007/978-3-319-25970-3_43

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-25968-0

  • Online ISBN: 978-3-319-25970-3

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