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.
- ACCIDENT & EMERGENCY MEDICINE
- ORTHOPAEDIC & TRAUMA SURGERY
- PLASTIC & RECONSTRUCTIVE SURGERY
- TRAUMA MANAGEMENT
- WOUND MANAGEMENT
- Received July 8, 2013.
- Accepted July 9, 2013.
- Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions