METHOD OF TREATING ACUTE ISCHIORECTAL PARAPROCTITIS

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to surgery, and can be used for treating acute ischiorectal paraproctitis. Free ligature is delivered, one of its ends is brought out through an internal fistula opening, a rectal lumen and an anal opening. Other end of the free ligature is brought out on the skin of the perineum in the projection of the affected crypt at distance of 2–3 cm from the anoderm. Even number of punctures is made perpendicular to the ulcer under ultrasound control every 1.5–2 cm with a scalpel, each pair of which is performed on an additional free ligature, which are removed with reducing peripheral blood leukocyte count in dynamics by 1.0×10⁹/l and more, body temperature normalization and change of puerostane exudate purulent to all discharge ligatures from purulent cavities. Free ligature is removed after forming a fibrous capsule throughout the fistulous passage. Internal fistulous opening is closed with non-wound absorbable suture with two separate interrupted sutures and coagulation of the fistulous passage is performed by laser radiation.;EFFECT: method enables relapse prevention.;1 cl