Complications and mortality of the recal trauma in the peace time

North-Western State Medical University named after I.I. Mechnikov, St.-Petersburg, Russia

Analysis of the 101 cases of rectal injury in peacetime presented. 36 (35,6%) patients received a prescription of injuries over 6 hours. Late admission accompanied by a large number of complications, the most common complication was peritonitis (29,7%), hemoperitoneum (18,1%), pelvic hematoma and retroperitoneal space (5,9%). Postoperative complications occurred in 34 affected, accounting for 33,6%, the most frequent of these were different purulent-septic complications of abdominal and pelvic fat. Factors contributing to the development of complications in rectal injury, are multiple and associated injuries, shock, massive blood loss, and intra-abdominal injuries. Extraperitoneal rectum above the pelvic floor, the failure or after the imposition of the bypass colostomy. Mortality in rectal injury was 6,9%.

Key words: rectal injuries, complications, mortality.

Contact: Anatoly I. Shugaev, shyugan@mail.ru