[Gunshot wounds of the large intestine].

The results of treatment of 262 patients with gunshot wounds of the large intestine are described. 207 (79%) patients had colic injuries and the rest 55 (21%) - gunshot wounds of the rectum. Authors adduce and substantiate the differential approach to each case, taking into consideration various factors, such as localization, size of the wound, grade of bacterial contamination and peritonitis etc In case of an injured colic segment resection necessity, obstructive resection was preferred. In case of intraperitoneal rectum injury wound closure with decompressive sigmostomy was justified. Extraperitoneal rectum injury requires surgical debridement without intestinal wall reconstruction and further sphincteroplasty. Postoperative lethality was 26,6% for colic injuries and 34,5% for rectal injuries. 85 patients experienced further reconstructive operations.