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Rectal injuries

T M Maxwell

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |November 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Rectal injuries are serious but survivability improved with exteriorization and resuscitation. Washout of the distal rectal segment significantly benefits patients with rectal trauma.

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    Area of Science:

    • Trauma surgery
    • Colorectal surgery
    • Surgical outcomes

    Background:

    • Rectal injuries historically have high mortality rates.
    • Improvements in management include exteriorization and resuscitation.
    • Vietnam War experience highlighted the value of distal rectal segment washout.

    Purpose of the Study:

    • To describe an advised management course for rectal injuries.
    • To emphasize key steps in treating rectal trauma.
    • To detail a surgical approach for rectal wounds.

    Main Methods:

    • Initial resuscitation and radiographic imaging (pelvis and abdomen).
    • Preoperative antibiotic administration.
    • Midline incision for rectal wound repair and proximal diverting colostomy.

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  • Thorough washout of the nonfunctioning bowel segment.
  • Careful assessment for associated injuries.

    • Main Results:

    • The described management aims to reduce mortality associated with rectal injuries.
    • Prompt resuscitation and surgical intervention are crucial.
    • Diverting colostomy and washout are key components of the treatment strategy.

    Conclusions:

    • The described management protocol, including resuscitation, surgical repair, colostomy, and washout, offers a structured approach to rectal injuries.
    • Early and comprehensive management is vital for improving patient outcomes.
    • Attention to associated injuries is essential for complete treatment.