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Benign Colorectal Disease Trauma of the Colon and Rectum

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The ASCRS Textbook of Colon and Rectal Surgery

Abstract

The management of colon and rectal injuries has evolved significantly over the last four decades. Today, primary repair or resection with anastomosis is the optimal strategy for most patients with colonic injuries. Diverting or protective ostomy still has a role in select high-risk injuries. In the management of accessible rectal injuries, there is an increasing role for primary repair or anastomosis. Diversion alone without direct repair is sufficient to treat isolated extraperitoneal rectal injuries. The use of presacral drainage and distal washout are no longer routinely recommended. A colostomy is usually indicated in the management of complex perineal wounds and should be performed as early as possible.

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Author information

Authors and Affiliations

  1. Division of Trauma, Burns, Surgical Critical Care and Acute Care Surgery, Brigham and Woman’s Hospital, Harvard Medical School, Boston, MA, USA

    Reza Askari & Ali Salim

  2. Scripps Mercy Hospital, Uniformed Services University of the Health Sciences, San Diego, CA, USA

    Matthew Martin

Authors
  1. Reza Askari
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  2. Ali Salim
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  3. Matthew Martin
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Corresponding author

Correspondence to Reza Askari .

Editor information

Editors and Affiliations

  1. Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA

    Scott R. Steele

  2. Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA

    Tracy L. Hull

  3. University of Chicago Medical Center, Chicago, IL, USA

    Neil Hyman

  4. Department of Surgery, University of Massachusetts Medical School, Worcester, MA, USA

    Justin A. Maykel

  5. Division of Gastrointestinal Surgery, University of Florida, Gainesville, FL, USA

    Thomas E. Read

  6. Department of Colon and Rectal Surgery, Ochsner Clinic, New Orleans, LA, USA

    Charles B. Whitlow

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Askari, R., Salim, A., Martin, M. (2022). Benign Colorectal Disease Trauma of the Colon and Rectum. In: Steele, S.R., Hull, T.L., Hyman, N., Maykel, J.A., Read, T.E., Whitlow, C.B. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-66049-9_42

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  • DOI: https://doi.org/10.1007/978-3-030-66049-9_42

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