[The use of preformed physical factors during the preoperative preparation and rehabilitation of rectocele patients]. / Primenenie preformirovannykh fizicheskikh faktorov v protsesse predoperatsionnoi podgotovki i reabilitatsii bol'nykh rektostsele.

A technique of using preformed physical factors for the treatment of rectocele patients in pre- and postoperative period has been designed. The technique promoted early activation of 36 postoperative females. They recovered functions of the fundus of the pelvis and normal defecation.

[Treatment of pustular lesions of the perineum and sacrococcygeal region]. / Lechenie gnoinikovykh porazhenii promezhnosti i kresttsovo- kopchikovoi oblasti.

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.

[Improvement of methods in the treatment of chronic nontumorous diseases of the rectum]. / Sovershenstvovanie sposobov lecheniia khronicheskikh neopukholevykh zabolevanii priamoi kishki.

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.

[Pathogenesis of postoperative complications of paraproctitis and measures for their prevention]. / Patogenez nekotorykh posleoperatsionnykh oslozhnenii paraproktita i mery ikh profilaktiki.

The inflammation of Morgagni crypts in the anal canal plays a great part in pathogenesis of acute paraproctitis and anal fistula. Such inflammation is often of diffuse character and in 18--19% of cases results in postoperative complications--acute and chronic cryptitis and subcutaneous microabscesses. Sanitation of Morgagni crypts (cryptotomy and cryptectomy) during radical operations for paraproctitis decreases the number of local postoperative complications and may be considered as one of the prophylactic measures against recurrent abscesses or anal fistulas.