Injuries to the rectum have always been associated with a high mortality. This was reduced when exteriorization was introduced, particularly when it was combined with prompt and effective resuscitative measures. Experience gained during the Vietnam war demonstrated the considerable benefit of washout of the distal rectal segment. The author describes the course of management he advises. After initial resuscitation, roentgenography of the pelvis and abdomen is necessary. Antibiotics should be administered preoperatively. Through a midline incision the rectal wounds are repaired and a proximal diverting colostomy is performed. The nonfunctioning bowel segment should then be thoroughly washed out. Careful search must be made for associated injuries that require attention.
直肠损伤一直与高死亡率相关。当采用外置术时，死亡率有所降低，尤其是当它与迅速有效的复苏措施相结合时。越南战争期间获得的经验表明，冲洗直肠远端有显著益处。作者描述了他建议的处理过程。初始复苏后，必须进行骨盆和腹部的X线检查。术前应使用抗生素。通过中线切口修复直肠伤口并进行近端转流性结肠造口术。然后应彻底冲洗无功能的肠段。必须仔细查找需要关注的相关损伤。
