Assuntos
Neoplasias do Ânus/cirurgia , Melanoma/cirurgia , Neoplasias Cutâneas/cirurgia , Adolescente , Canal Anal/patologia , Canal Anal/cirurgia , Neoplasias do Ânus/patologia , Doença Crônica , Terapia Combinada , Humanos , Masculino , Melanoma/patologia , Prurido Anal/terapia , Neoplasias Cutâneas/patologiaRESUMO
A method of active outstripping incisions with special reference to the localization of the primary anaerobic focus and possible pathways of the spreading of purulent exudate is proposed on the basis of experiences with surgical treatment of 14 patients with acute anaerobic paraproctitis and investigations of topographical-anatomical localization of cellular spaces in the pararectal area.
Assuntos
Bactérias Anaeróbias , Infecções Bacterianas/cirurgia , Proctite/cirurgia , Doença Aguda , Infecções Bacterianas/complicações , Infecções Bacterianas/diagnóstico , Terapia Combinada , Feminino , Gangrena/diagnóstico , Gangrena/cirurgia , Humanos , Linfangite/diagnóstico , Linfangite/cirurgia , Masculino , Métodos , Cuidados Pós-Operatórios , Proctite/complicações , Proctite/diagnóstico , Reto/cirurgiaRESUMO
The experience with operative treatment of 974 patients with chronic paraproctitis has been summarized. After the operations for intrasphincter fistula, 1% of the patients developed a disease recurrence, 0.5%--incompetence of the anal sphincter; for transsphincteric fistula--2.6 and 1.9%, respectively, for extrasphincteric fistula--5.7 and 5.2%. A fistula excision into the intestinal lumen is an operation of choice in intra- and transsphincteric fistula. In extrasphincteric fistula, fistula excision, plastic transfer of mucosa for closure of its internal opening with preservation of the anal sphincter should be performed. In presence of the extensive scars and purulent leaks, a ligature should be added to fistula excision.
