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[Perineal anorectal wounds in war surgery]
B Baranger1, P Vicq, H Darrieus
1HIA Val de Grâce, Clinique de Chirurgie Vasculaire et Viscérale, Paris.
Journal De Chirurgie
|May 1, 1990
Summary
Perineal rectal wounds are emergencies requiring immediate surgical intervention. A recommended approach involves terminal colostomy, ample drainage, and careful management of the rectal injury to mitigate serious sequelae.
Area of Science:
- Trauma surgery
- Colorectal surgery
- Emergency medicine
Context:
- Perineal rectal wounds present significant immediate and secondary risks.
- These injuries can lead to severe long-term complications in up to 15% of cases.
- Civilian injuries necessitate a defined surgical strategy.
Purpose:
- To outline a surgical approach for civilian perineal rectal injuries.
- To emphasize the critical nature of these emergencies.
- To review established treatment protocols.
Summary:
- The authors propose a surgical management strategy for civilian perineal rectal wounds.
- Key elements include the creation of a terminal colostomy for diversion.
- Extensive drainage and meticulous surgical repair of the rectal injury are crucial.
Impact:
- This approach aims to reduce the immediate and secondary severity of these wounds.
- Effective management can potentially lower the 15% rate of long-term sequelae.
- Provides a clear surgical pathway for emergency rectal trauma in civilian settings.