7Th International Symposium Of Weapons Traumatology And Wound BallisticsColon and Rectal War InjuriesStankovic, Nebojsa MD, PhD; Petrovic, Milija MD; Drinkovic, Nikica MD; Bjelovic, Milos MD; Jevtic, Miodrag MD; Mirkovic, Darko MDAuthor Information From the Clinic for General and Vascular Surgery, Military Medical Academy, Beograd, Yugoslavia. Presented at the 7th International Symposium of Weapons Traumatology and Wound Ballistics, St. Petersburg, Russia, September 1994. Address for reprints: Nebojsa Stankovic, MD, PhD, Clinic for General and Vascular Surgery, Military Medical Academy, Banjica-Crnotravska 17, 11000 Beograd, Yugoslavia. The Journal of Trauma: Injury, Infection, and Critical Care: March 1996 - Volume 40 - Issue 3S - p 183S-188S Buy Abstract The results of retrospective analysis in the treatment of 189 wounded with colorectal lesions treated at the Military Medical Academy from July 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 primarily inflicted by bullets of various calibers and high kinetic energy. The time interval between wounding and surgery was less than 6 hours 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 complications (colorectal cause) were found in 40 (21.2%) wounded. Reoperation was performed in 35 (18.5%) wounded. Total mortality rate was 10.1% (19 wounded). © Williams & Wilkins 1996. All Rights Reserved.