Same admission colostomy closure (SACC) : a new approach to rectal wounds : a prospective study. Discussion

Objective The purposes of this project were to study the healing of protected rectal wounds (RWs) using contrast enemas (CEs) and to establish the safety of same admission colostomy closure (SACC) in terms of colostomy closure (CC) and rectal wound-related outcomes, for selected patients with radiologically healed RWs. Summary Background Data Traditional treatment of RWs has included a diverting colostomy that is closed 2 or more months later during a readmission. Methods All patients admitted with a rectal injury were entered into this prospective study, treated with a diverting colostomy and presacral drainage, and managed according to a postoperative protocol that included a CE per anus to detect healing of the RW