• Luis Guillermo Saldarriaga, Helmer Emilio Palacios-Rodríguez, Luis Fernando Pino, Adolfo González Hadad, Yaset Caicedo, Jessica Capre, Alberto García, Fernando Rodríguez-Holguín, Alexander Salcedo, José Julián Serna, Mario Alain Herrera, Michael W Parra, Carlos A Ordoñez, and Abraham Kestenberg-Himelfarb.
• Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery. Cali, Colombia.
• Colomb Medica. 2021 May 20; 52 (2): e4124776e4124776.

AbstractRectal trauma is uncommon, but it is usually associated with injuries in adjacent pelvic or abdominal organs. Recent studies have changed the paradigm behind military rectal trauma management, showing better morbidity and mortality. However, damage control techniques in rectal trauma remain controversial. This article aims to present an algorithm for the treatment of rectal trauma in a patient with hemodynamic instability, according to damage control surgery principles. We propose to manage intraperitoneal rectal injuries in the same way as colon injuries. The treatment of extraperitoneal rectum injuries will depend on the percentage of the circumference involved. For injuries involving more than 25% of the circumference, a colostomy is indicated. While injuries involving less than 25% of the circumference can be managed through a conservative approach or primary repair. In rectal trauma, knowing when to do or not to do it makes the difference.Copyright © 2021 Colombia Medica.

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