TY - JOUR AU - Clemens, Michael S.; Peace, Kaitlin M.; Yi, Fia TI - Rectal Trauma: Evidence-Based Practices SN - 1531-0043 SN - 1530-9681 PY - 2018 JO - Clin Colon Rectal Surg JF - Clinics in Colon and Rectal Surgery LA - EN VL - 31 IS - 01 SP - 017 EP - 023 ET - 2017/12/19 DA - 2018/01/28 KW - rectum KW - rectal trauma KW - trauma KW - diversion KW - drainage AB - The management of rectal trauma has often been lumped in with colon trauma when, in fact, it is a unique entity. The anatomic nature of the rectum (with its intra- and extraperitoneal segments) lends itself to unique circumstances when it comes to management and treatment. From the four Ds (debridement, drainage, diversion, and distal irrigation), the management of rectal trauma has made some strides in light of the experiences coming out of the recent conflicts overseas as well as some rethinking of dogma. This article will serve to review the anatomy and types of injuries associated with rectal trauma. A treatment algorithm will also be presented based on our current literature review. We will also address controversial points and attempt to give our opinion in an effort to provide an update on an age-old problem. PB - Thieme Medical Publishers DO - 10.1055/s-0037-1602182 UR - http://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0037-1602182 ER -