Abstract
The management of penetrating rectal trauma has been evolving over the last century. There has more recently been a shift in policy from the mandatory colostomy suggested from the military experience to the realisation that civilian low-velocity intraperitoneal rectal injuries can be managed similar to other colonic injuries. The introduction of laparoscopy in trauma has provided screening for and the identification of the transpelvic gunshot wound that has not breached the peritoneal cavity. This has allowed for a far more conservative but safe approach to the management of the extraperitoneal rectal injury. Debate has also arisen about the need for distal rectal washout and the effectiveness of presacral drainage.
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Nicol, A.J., Navsaria, P. (2017). Penetrating Rectal Injuries. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49859-0_55
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DOI: https://doi.org/10.1007/978-3-662-49859-0_55
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