[Strategy of the surgeon in rectal injuries]

Mechanical rectal injuries are severe traumas of the gastrointestinal tract which often cause fatal complications. The etiology of injuries to the rectum is diverse. They are inflicted with knives, occur in blunt injury of the abdomen, in injury with foreign objects, in falling from a height on a sharp object. Particularly important are traumas occurring during medical manipulations: in giving an enema, during rectosigmoidoscopy and colonoscopy, in electrocoagulation of polyps. Various methods are applied for the treatment of rectal injuries in intra- and extraperitoneal traumas, and an individual approach is needed in each case.