• Metehan Gümüş, Murat Kapan, Akın Önder, Abdullah Böyük, Sadullah Girgin, and Ibrahim Taçyıldız.
• Department of General Surgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey. metehangumus@yahoo.com
• Ulus Travma Acil Cer. 2011 Sep 1;17(5):401-6.

BackgroundThe principles of the treatment of rectal injuries have been determined based on the experiences gained from military injuries. While adopting these principles in civilian life, it is essential to know the characteristics of civilian rectal injuries as well as the risk factors affecting morbidity.MethodsThe characteristics of 29 inpatients who had been treated due to rectal injuries caused by gunshot wounds and penetrating devices were evaluated. In order to determine the risk factors, the patients were divided into two groups regarding the presence of morbidity (Group 1, with morbidity; Group 2, without morbidity) and compared.ResultsSevere fecal contamination, perianal or gluteal injuries, duration of trauma- treatment interval, and isolated extraperitoneal injury were significant factors that affected the development of morbidity. The length of hospital stay was significantly longer in Group 1 as compared to Group 2.ConclusionAlthough rectal injuries are rarely encountered, they carry high morbidity and mortality. Awareness of the risk factors and planning of a patient-based treatment are essential for the success of the therapy. The rate of morbidity is substantially decreased when patients are treated in time. Thus, the awareness of both patients as well as physicians managing trauma about rectal injuries should be increased.

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