[Chronic recurrent paraproctitis]

The authors analyze the problem of prophylaxis of chronic paraproctitis (rectum fistulas). One of its links is the correct understanding of etiology and treatment of recurring pararectal abscesses. This form of inflammation with recurring abscesses without fistulas in the stage of remission is considered to be chronical. The authors propose to name it the chronic recurring paraproctitis. The experience with the treatment of 202 patients showed the usual opening the abscess to be not radical. To prevent further recurrings it is necessary to eliminate the altered crypt and the latent infection in the scar tissues. A two-step operation was used with the displacement of the mucous coat. Radical operations were made on 119 patients. All of them showed complete recovery.