OPTIMIZATION OF SURGICAL TREATMENT TACTICS FOR ACUTE GANGRENOUS-NECROTIC PARAPROCTITIS
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The article presents the results of the treatment of 242 patients who underwent surgery at the multidisciplinary clinic of Samarkand State Medical University in 2015-2022, of whom 23 (9.5%) patients were infected with the necrotic form of the disease. Acute paraproctitis of aerobic etiology was observed in 219 (90.5%) patients. The average age of the patients was 63.1±4.9 years. All patients underwent clinical examination, rectal examination, rectomanoscopy, transabdominal and transrectal ultrasound examination, computed tomography and bacteriological examination of the wound discharge. All patients underwent urgent surgical operations. The results of the examination showed that timely radical surgical intervention, antibacterial and detoxification therapy led to the recovery of the patients.
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