Published in

Royal Army Med Corps, Journal- Royal Army Medical Corps, 3(160), p. 255-257, 2013

DOI: 10.1136/jramc-2013-000144

Links

Tools

Export citation

Search in Google Scholar

Treatment of rectal war wounds

Journal article published in 2013 by Oscar J. F. van Waes, J. A. (Jens) Halm, J. (J.) Vermeulen, Vivian C. (V C.) McAlister ORCID
This paper is available in a repository.
This paper is available in a repository.

Full text: Download

Question mark in circle
Preprint: policy unknown
Upload
Question mark in circle
Postprint: policy unknown
Upload
Question mark in circle
Published version: policy unknown
Upload
Policy details
Data provided by SHERPA/RoMEO

Abstract

Treatment strategies for penetrating rectal injuries (PRI) in civilian settings are still not uniformly agreed, in part since high-energy transfer PRI, such as is frequently seen in military settings, are not taken into account. Here, we describe three cases of PRI, treated in a deployed combat environment, and outline the management strategies successfully employed. We also discuss the literature regarding PRI management. Where there is a major soft tissue component, repetitive debridement and vacuum therapy is useful. A loop or end colostomy should be used, depending on the degree of damage to the anal sphincter complex.