Tratamiento actualizado en los pacientes portadores de trauma de recto

Abstract

Rectal injuries caused by trauma have little data both in their epidemiology and in the diagnostic and therefore their management. However, there are some published percentages of the frequency in which this injury occurred; being one of them in times of war, where it takes relevance and thus recover the quality of life of the patient and anticipate later complications. We will mainly focus on analyzing the therapeutic behavior of patients with rectal trauma. A bibliographic research of 10 scientific articles was carried out that meet the following characteristics: belonging to the last 5 years, indexed to a DOI or ISSN. As well as searching for the topic in PubMed, Med Scape, ScienceDirect and Lilacs databases using the MeSH terms: ''Rectum''; ''Rectal trauma''; ''Diagnostic'';''Treatment''; ''Surgery''. Through this bibliographic review, information was collected that guides us to an effective therapeutic approach, this being repair, anastomosis, derivation, drainage, and distal lavage or evacuation, obtaining a good prognosis and thus reducing morbidity and mortality. In conclusion, the main basis for the management of rectal injuries is given by their anatomical division, be it intraperitoneal or extraperitoneal.