[Foreign bodies of the rectum].

The experience in the treatment of 143 patients with foreign bodies of the rectum and sigmoid colon is analyzed. Groups of foreign bodies are distinguished according to their size, structure and ways of occurring. Methods of extraction of foreign bodies in typical and non-typical situations are described. It is demonstrated that in 2.8% cases of extraction surgeries laparotomy is required even without perforation of this organ.

[Treatment of epithelial coccygeal fistula].

Analysis of treatment of 822 patients with epithelial coccygeal fistula has demonstrated that purulent complication is indication for primary radical surgery. Number of complications and recurrences decreases if the first focus of inflammation is treated and epithelial fistula is resected after healing of the wound. Anaerobic inflammation is seen in 0.4% patients with purulent epithelial coccygeal fistula. These patients require radical resection of affected tissues and general intensive therapy. There were no lethal outcomes after treatment of inflammatory complications. Hospital stay was 7.7 bed-days. All the surgical methods have disadvantages. Proposed method demonstrates the best results. Suppuration of the wounds was seen in 0.7% cases, recurrences -- in 1.1% patients.

[Anaerobic paraproctitis]. / Anaérobnyi paraproktit.

Anaerobic paraproctitis (AP) was seen in 8.6% of 1057 cases with acute paraproctitis. Severe general condition of the patient, vast damage, fetid wound secretion, extensive detachment and necrosis of tissues were the main AP symptoms. Radical excision of affected tissues with daily revision and sanatation in combination with intensive general therapy permits to reduce mortality to 4.3%. In early postoperative period reversible insufficiency of anal sphincter developed in 16.1% AP patients. It is necessary to close wounds as early as possible. Perforated cutaneous pedicle flap from posterior wall of the scrotum may be successfully used for plastic repair of perineum wound.