COLON AND RECTAL WAR INJURIES

The results of retrospective analysis in the treatment of 189 wounded with colorectal lesions treated at the Military Medical Academy from J uly 1991 to December 1993 were presented, Primary surgical management was performed in 33 (17.5%) wounded, The others were transported into this hospital for further treatment after primary surgical management in war hospitals in the combat zone, Colorectal lesions (46.0%) were p rimarily inflicted by bullets of various calibers and high kinetic ene rgy, The time interval between wounding and surgery was less than 6 ho urs for 39.6% of the wounded, whereas 80.1% were operated on within 12 hours. Multiple or combined colonic and rectal injuries were found in 91.5% of the wounded, Different surgical procedures were performed in accordance with the surgical war doctrine. Postoperative complication s (colorectal cause) were found in 40 (21.2%) wounded, Reoperation was performed in 35 (18.5%) wounded, Total mortality rate was 10.1% (19 w ounded).