[Current situation of XXXX ].

@entity1 @entity4499 @entity158 @entity14 @entity204 @entity130
Mortality from @entity14 decreased from the end of the 19th Century, when @entity204 was the rule, to the 21st Century, when mortality is 5%. The greatest advances were produced during wars, mainly due to improved transport conditions, antisepsis, advances in operating and anesthetic techniques, the management of fluids, blood and blood products, the use of antibiotics, exteriorization of wounds, and the use of colostomy. @entity130 , rectum and colon are infrequent. Their prevalence is difficult to establish because they can be caused by several factors. In Spain, the most frequent causes are traffic accidents and @entity4499 , while in America the most common causes are stab or gunshot wounds. Although the etiology of these injuries is diverse, two major groups of @entity14 can be established: @entity130 and iatrogenic @entity130 . Clinical symptoms vary, ranging from abdominal, pelvic, perianal or anal @entity158 , sometimes associated with rectorrhagia, to peritonismus or shock. Diagnosis is based on physical and rectal examination and laboratory, radiological, and endoscopic investigations. Laparoscopy can also be used on occasions. Treatment should be individualized, depending on the @entity1 's history, current status, the time elapsed since injury, the status of the injured intestine, the degree of fecal contamination, associated lesions, and the surgeon's experience.
