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Treatment of rectal war wounds
J R Army Med Corps (2014)
  • O J van Waes
  • J A Halm
  • J Vermeulen
  • Vivian C. McAlister

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.

  • War injury; combat care; colostomy; rectal injury
Publication Date
August, 2014
Citation Information
O J van Waes, J A Halm, J Vermeulen and Vivian C. McAlister. "Treatment of rectal war wounds" J R Army Med Corps Vol. 160 (2014)
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