Diseases of the colon and rectum
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This study was designed to develop treatment algorithms for colon, rectal, and anal injuries based on the review of relevant literature. ⋯ The management of penetrating and blunt colon, rectal, and anal injuries has evolved during the past 150 years. Since the World War II mandate to divert penetrating colon injuries, primary repair or resection and anastomosis have found an increasing role in patients with nondestructive injuries. A critical review of recent literature better defines the role of primary repair and fecal diversion for these injuries and allows for better algorithms for the management of these injuries.