title: Factors affecting morbidity in penetrating rectal injuries: a civilian experience.
abstract: BACKGROUND
  The principles of the treatment of rectal injuries have been determined based on the experiences gained from military injuries. While adopting these principles in civilian life, it is essential to know the characteristics of civilian rectal injuries as well as the risk factors affecting morbidity.
  
  
  METHODS
  The characteristics of 29 inpatients who had been treated due to rectal injuries caused by gunshot wounds and penetrating devices were evaluated. In order to determine the risk factors, the patients were divided into two groups regarding the presence of morbidity (Group 1, with morbidity; Group 2, without morbidity) and compared.
  
  
  RESULTS
  Severe fecal contamination, perianal or gluteal injuries, duration of trauma- treatment interval, and isolated extraperitoneal injury were significant factors that affected the development of morbidity. The length of hospital stay was significantly longer in Group 1 as compared to Group 2.
  
  
  CONCLUSIONS
  Although rectal injuries are rarely encountered, they carry high morbidity and mortality. Awareness of the risk factors and planning of a patient-based treatment are essential for the success of the therapy. The rate of morbidity is substantially decreased when patients are treated in time. Thus, the awareness of both patients as well as physicians managing trauma about rectal injuries should be increased.
authors.affiliation: Department of General Surgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey. metehangumus@yahoo.com
authors.forename: Metehan
authors.initials: M
authors.lastname: Gümüş
authors.forename: Murat
authors.initials: M
authors.lastname: Kapan
authors.forename: Akın
authors.initials: A
authors.lastname: Önder
authors.forename: Abdullah
authors.initials: A
authors.lastname: Böyük
authors.forename: Sadullah
authors.initials: S
authors.lastname: Girgin
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Taçyıldız
mesh_terms: D000293:Adolescent; D000328:Adult; D003125:Colostomy / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011183:Postoperative Complications; D012007:Rectum / Q000293:injuries*; D012307:Risk Factors; D014421:Turkey / Q000453:epidemiology; D014950:Wounds, Penetrating / Q000453:epidemiology* / Q000473:pathology / Q000601:surgery; D055815:Young Adult