Keywords
proctology
How to Cite
Abstract
The goal of the research was to improve the results of treatment for the acute forms of paraproctitis: optimisation of the algorithm of diagnostics, increasing of the level of surgery; identification of causing microbes, study of antibiotics susceptibility.
In 2015-2016 years 58 patients have passed the stationary treatment.
During the perioperative period the following researches were conducted: perineal examination, palpation, digital examination, ultrasonography, CT, abscessography, microbe identification. Pelviorectal acute paraproctitis was indicated in 49 patients‘ case, retrorectal – 6 patients, Fournier gangrene – 2 patients, anaerobic paraproctitis – 1.
Single moment operations were conducted –in 51 cases, two or more-in 4. Post-surgery assessment, antibiotic and infusion therapy, laboratory studies, bacteriological monitoring.
Rectal fistula formed in 2 cases, anal incontinence at once. The positive results were due to the following: The correct diagnostic algorithm, adequately produced operations and on the basis of a local antibiotic susceptibility tests properly planned antibiotic therapy.
References
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