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Surgery may be curative for patients with a localized perforation of rectal carcinoma

Perforation at the time of operation adversely affects the prognosis of rectal cancer. These procedures have been termed ‘palliative’ or ‘non‐curative’. The long‐term outcome of generalized perforations may be different from that of localized or contained perforations. Although the oncological results may be compromised when the tumour is perforated, results in cases where the perforation is contained may not be as bad as previously thought. An attempt was made to examine the intermediate and long‐term results for locally contained perforated rectal cancers.