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  • Title: Treatment of rectal war wounds.
    Author: van Waes OJ, Halm JA, Vermeulen J, McAlister VC.
    Journal: J R Army Med Corps; 2014 Sep; 160(3):255-7. PubMed ID: 24109119.
    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.
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