The treatment of an acute paraproctitis

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en 10 Febrero 2015
Added by gregorcuba
Item Type Journal Article
Title [The treatment of an acute paraproctitis]
Author Militsa, N N
Author Toporov, Iu D
Author Kozlov, V B
Author Davydov, V I
Author Grebennikov, D S
Author Postolenko, N D
Abstract The results of surgical treatment of an acute paraproctitis in 708 patients, in 9 (1.27%) of whom gangrenous -- putrificated form of paraproctitis was diagnosed, are adduced. In 187 (42.6%) patients the abscess disclosure with intraintestinal purulent fistula, going into intestinal lumen, excision was performed, together with cryptectomy -- in 182 (41.4%), the ligature method was applied in 18 (4.1%) with subsequent fistula excision and its internal orifice plasty using mucosal-submucosal flap. For extrasphincteric or transsphincteric purulent tunnel the abscess was opened and drained, its internal orifice sutured, using 'distant" removable suture. It internal orifice was not revealed there was accomplished procedure of disclosure and draining of purulent cavity, the wound sanation with insufflation of ozone-oxygen mixture. In anaerobic paraproctitis the procedure consisted of disclosure and draining of purulent cavities with necrectomy was performed. To all the patients antibacterial therapy was conducted. In 20 (4.5%) patients an acute paraproctitis recurrence had occurred, in 9 (2%) -- pararectal fistula, and in 5 (1.1%) -- the anal sphincter stage I insufficiency.
Publication Klinichna Khirurhiia / Ministerstvo Okhorony Zdorov'ia Ukraïny, Naukove Tovarystvo Khirurhiv Ukraïny
Issue 10
Pages 37-39
Date Oct 2008
Journal Abbr Klin Khir
ISSN 0023-2130
URL http://www.ncbi.nlm.nih.gov/pubmed/19405402
Accessed 2010-03-15 22:52:30
Library Catalog NCBI PubMed
Extra PMID: 19405402
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