ABSTRACT
The results of treatment of 316 patients with chronic pustular lesions of the perineum and sacrococcygeal region are discussed. It is shown that the only radical measure in this category of patients is total excision of the involved tissues and, in combined variants, simultaneous performance of typical operations for rectal fistula or coccygeal pilonidal fistula. In localized and mostly in regional forms of the disease one-stage surgical interventions are expedient. Many-stage operations are indicated in extensive and, less frequently, in regional forms. Postoperative complications occurred in 5.3% of cases and were associated with wound suppuration. The late-term results were studied in 71.7% of patients who underwent operation: recurrences developed in 3.7% of cases.
Subject(s)
Perineum/surgery , Pilonidal Sinus/surgery , Pyoderma/surgery , Chronic Disease , Female , Humans , Male , Skin Transplantation/methodsABSTRACT
The suggested methods for the treatment of chronic non-tumorous diseases of the rectum contributed to reduction in the incidence of postoperative complications and shortening of the duration of treatment. Hemorrhoidectomy was performed without leaving the node stumps with the use of sphincterotomy. Anal fissures were treated differentially. In long intra-sphincter and trans-sphincter fistulas, a wound of the anal region was sutured tightly, for the treatment of complex fistulas, the modified ligature method was employed. The glue and polymeric compositions were used.