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Extraperitoneal rectal gunshot injuries
R D Levy1, P Strauss, D Aladgem
1Department of Surgery, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa.
The Journal of Trauma
|February 1, 1995
Abstract:
Extraperitoneal rectal gunshot injuries are rare, but may be encountered in civilian practice. We report on a series of 26 such cases. The aim of the study is to attempt to evolve a treatment policy of this injury. The principles of management include the repair of rectal wound in selected cases and the formation of a diverting colostomy. Distal rectal washout and presacral drainage, although advocated by some authors, do not seem to be indispensable adjuncts to the management of these injuries.