[Choice of treatment methods in extraperitoneal injuries of the rectum]

From experience in the treatment of 202 patients with extraperitoneal injury to the rectum, the authors suggest that the choice of the method of management should be based on strict consideration for the etiology, the degree of injury to the rectal wall, the location of the injury, and the presence of early and late-term complications. Various methods of treatment are recommended depending on the character of the injury. Treatment in this case must be strictly individual. Thoroughness of surgical debridement, timely formation of colostomy, and correct choice of the time for plastic operations are also very important. With adherence to the suggested conditions for the choice of the method of treatment good results were produced in all patients.