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[New approaches in surgical treatment of acute paraproctitis]

M M Mamedov, M F Mustafayeva

    Klinichna Khirurhiia
    |May 20, 2015
    PubMed

    Insights

    This study analyzed 77 patients with acute paraproctitis. A novel treatment involving enzyme therapy and laser irradiation effectively prepared patients for surgery, reducing inflammation.

    Area of Science:

    • Proctology
    • Minimally Invasive Surgery
    • Biochemistry

    Context:

    • Acute paraproctitis presents significant challenges in patient management and surgical preparation.
    • Optimal preoperative conditions are crucial for successful surgical outcomes in proctological cases.

    Purpose:

    • To evaluate the efficacy of a combined treatment protocol for acute paraproctitis.
    • To assess the impact of enzyme therapy and laser irradiation on preoperative patient optimization.

    Summary:

    • Analyzed treatment outcomes for 77 patients (18-71 years) with acute paraproctitis between 2010-2014.
    • Employed preventive puncture-flush enzymosanation with immobilized bacterial proteinases (imozimase) and metrogyl P.
    • Combined therapy included low-intensive laser irradiation for enhanced preoperative preparation.

    Impact:

    • Significantly improved patient preoperative status.
    • Substantially reduced the intensity of local inflammatory reactions.
    • Facilitated optimal surgical preparation for patients with acute paraproctitis.

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