Articles
| Open Access |
DOI:
https://doi.org/10.37547/medical-fmspj-02-02-06
OPTIMISING SURGICAL MANAGEMENT OF PATIENTS WITH ACUTE PARAPROCTITIS
Rustamov Murodulla Isomiddinovich , Candidate of Medical Sciences Assistant of the Department of General Surgery Samarkand State Medical University, Uzbekistan Rustamov Inoyatulla Muradulla , Assistant of the Department of General Surgery Samarkand State Medical University, Uzbekistan Akbar Akramovich Shodmonov , Candidate of Medical Sciences Assistant at the Department of General Surgery Samarkand State Medical University Samarkand, UzbekistanAbstract
303 patients with different clinical forms of acute paraproctitis were treated. All the observed patients were operated on radically. Treatment tactics and choice of surgical treatment method in patients with various clinical forms of acute paraproctitis depend upon the pus localization, the location of primary purulent passage in relation to anal sphincter fibers, the degree of cicatricial process development in pararectal tissue and rectal wall. The developed complex of tactical and therapeutic measures allows to reduce the period of patient's stay in the hospital, significantly reduce the percentage of recurrences of the disease, improve functional results of treatment.
Keywords
Acute paraproctitis, diagnosis, treatment tactics
References
Avzalov A.N. Analysis of hospitalized patients with paraproctitis in a national clinical hospital / A.N. Avzalov, I.M. Shigabutdinova, E.V. Vinogradova // Medicine. - 2017. - Т. 2, № 9. - С. 7-8.
Evtushenko E.G. Treatment of putrefactive forms of acute paraproctitis / E.G. Evtushenko, A.A. Kartashev, A.V. Smolkina // Actual problems of modern practical healthcare: materials of the XXI International Scientific-Practical Conference in memory of Academician N.N. Burdenko. - Penza, 2016. - С. 123-124.
Zhabina A.V. Complex approach to the treatment of acute paraproctitis: abstract of Ph. ... candidate of medical sciences / Zhabina A.V. - Stavropol, 2019. - 21 с.
Zuzova A.P. Modern trends in the clinic of surgical skin and soft tissue infections / A.P. Zuzova, A.A. Tarasov // Collection of abstracts of the International Scientific and Practical Conference dedicated to the 140th anniversary of Professor V.F. Voyno-Yasenetsky. - Simferopol, 2017. - С. 93-94.
Ilkhomovna, K. M., Eriyigitovich, I. S., &Kadyrovich, K. N. (2020). Morphological Features Of Microvascular Tissue Of The Brain At Hemorrhagic Stroke. The American Journal of Medical Sciences and Pharmaceutical Research, 2(10), 53-59.
Khaidarov Nodir Kadyrovich, Shomurodov Kahramon Erkinovich, & Kamalova Malika Ilhomovna. (2021). Microscopic Examination Of Postcapillary Cerebral Venues In Hemorrhagic Stroke. The American Journal of Medical Sciences and Pharmaceutical Research, 3(08), 69–73.
Lavreshin, P.M. Differential approach to the treatment of acute paraproctitis / P.M. Lavreshin, V.K. Gobejishvili, A.V. Zhabina, A.V. Sidorov, R.A. Iskhakov, J.R. Khudaverdieva // Bulletin of N.I. Pirogov National Medical and Surgical Centre. - 2016. - Т. 11, № 2. - С. 62-64.
Mansurova A.B. Criteria for assessing the dynamics of the course of acute paraproctitis against the background of diabetes mellitus / A.B. Mansurova // Science and modernity. - 2015. - № 38. - С. 54-57.
Musin A.I. Features of treatment tactics of acute paraproctitis / A.I. Musin, I.V. Kostarev // Annals of Surgery. - 2017. - № 2. - С. 81-87.
Musin, A.I. Acute paraproctitis: aspects of etiology, pathogenesis and diagnosis (review of literature) / A.I. Musin, D.A. Fedorchenko, E.V. Antipova, E.V. Kuznetsova, E.K. Naumov // Surgeon. - 2019. - № 3-4. - С. 38- 49.
Rodoman, G.V. Paraproctitis: features of etiology and topical possibilities of perioperative antibiotic prophylaxis / G.V. Rodoman, S.K. Zyrianov, M.A. Ivzhits, O.M. Romashov, M.I. Aleksandrov, G.A. Putsman, P.V. Ionidi // Surgeon. - 2019. - № 5-6. - С. 40-49.
Rustamov, M.I. Rustamov, T.K. Kamolov, L.T. Rakhmatova, Z.Y. Saidullayev, U.T. Makhramov // National Association of Scientists. Medical Sciences. - 2016. - № 1 (17). - С. 9-10.
Adamo, K. Prevalence and recurrence rate of perianal abscess – a populationbased study, Sweden 1997-2009 / K. Adamo, G. Sandblom, F. Brännström, K. Strigård // Int J Colorectal Dis. – 2016. – Vol. 31 (3). – P. 669-73. – doi: 10.1007/s00384-015-2500-7.
Alabbad, J. Retrospective clinical and microbiologic analysis of patients with anorectal abscess / J. Alabbad, F. Abdul Raheem, F. Alkhalifa, Y. Hassan, A. Al-Banoun, W. Alfouzan // Surg Infect (Larchmt). – 2019. – Vol. 20 (1). – P. 31-34. – doi: 10.1089/sur.2018.144.
Amaranathan, A. Retroperitoneal necrotizing fasciitis masquerading as perianal abscess - rare and perilous / A. Amaranathan, A.K. Sahoo, D. Barathi, G. Shankar, S.C. Sistla // Cureus. – 2017 Jan 17. – Vol. 9 (1). – pii. e982. – doi: 10.7759/cureus.982.
Chen, Y. Feasibility investigation of three cavity clearance in treatment of perianal abscess / Y. Chen, X. Wang, H. Jin, B. Zhang, H. Yao, K. Wu, S. Wang // Zhonghua Wei Chang Wai Ke Za Zhi. – 2016. – Vol. 19 (4). – P. 442-5.
Gong, Z. Treatment of first-time perianal abscess in childhood, balance recurrence and fistula formation rate with medical intervention / Z. Gong, M. Han, Y. Wu, X. Huang, W.J. Xu, Z. Lv // Eur J Pediatr Surg. – 2018. – Vol. 28 (4). – P. 373-377. – doi: 10.1055/s-0037-1603092.
Zähringer, M. A rare differential diagnosis of perianal abscess / M. Zähringer, M. Schäffer // Chirurg. – 2019. – Vol. 90 (7). – P. 585-587. – doi: 10.1007/s00104-019-0971-8
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Copyright (c) 2022 Rustamov Murodulla Isomiddinovich, Rustamov Inoyatulla Muradulla, Akbar Akramovich Shodmonov
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