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[Chronic recurrent paraproctitis]

N M Blinnichev, R M Buttaev

    Vestnik Khirurgii Imeni I. I. Grekova
    |December 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Chronic recurring paraproctitis, characterized by recurrent abscesses without fistulas, requires radical treatment. A two-step surgical approach effectively eliminates infection and altered crypts, leading to complete recovery in patients.

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    Area of Science:

    • Colorectal Surgery
    • Proctology
    • Surgical Infections

    Context:

    • Chronic paraproctitis, often presenting as recurrent pararectal abscesses without a fistula, poses a significant clinical challenge.
    • Current understanding of etiology and treatment for these recurring abscesses is crucial for effective prophylaxis.
    • The condition, characterized by remission stages with abscesses but no fistulas, is proposed to be termed 'chronic recurring paraproctitis'.

    Purpose:

    • To analyze the prophylaxis of chronic paraproctitis (rectum fistulas).
    • To evaluate the efficacy of a novel two-step surgical operation for chronic recurring paraproctitis.
    • To identify the necessary components for radical treatment to prevent recurrence.

    Summary:

    • A study involving 202 patients demonstrated that simple abscess drainage is not a radical treatment for chronic recurring paraproctitis.

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  • The proposed radical treatment involves a two-step operation with mucous membrane displacement to eliminate the altered crypt and latent infection.
  • This surgical approach was performed on 119 patients, resulting in complete recovery and absence of recurrence.

    • Impact:

    • Establishes a new nomenclature, 'chronic recurring paraproctitis,' for a specific clinical presentation.
    • Provides evidence for a more effective surgical strategy in managing complex perianal sepsis.
    • Offers a solution for preventing recurrence in patients with chronic paraproctitis, improving patient outcomes.