WAYS TO IMPROVE THE OUTCOMES OF SURGICAL TREATMENT OF ISCHIORECTAL AND RETRORECTAL FORMS OF ACUTE PARAPROCTITIS
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Abstract
The present study is based on the experience of comprehensive diagnostics and surgical treatment of 119 patients with complex forms of acute paraproctitis - ischiorectal and retrorectal localizations. Optimization of the tactical and technical aspects of the surgical treatment of patients with complex forms of paraproctitis, providing for operations in 2 stages in cases of high (deep) localization of the abscess (22.3% of patients) and for primary radical interventions in cases of low localization of the abscess, made it possible to reduce complications in the immediate postoperative period from 38.4% to 11.9%, as well as the formation of pararectal fistulas from 11.5% to 4.6% and disease recurrence from 9.6% to 2.9% in the long-term period.
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