Fistula of the rectum: treatment

Fistula( chronic paraproctitis, fistula) is a channel( pathological) between two hollow organs, or a hollow organ, an inflammatory focus, and also the surface of the body or its cavity. In 80-98% of patients fistula of the rectum arises from acute paraproctitis, but other causes are not excluded. All methods of treatment of fistulas of the rectum can be divided into two groups. This conservative treatment and a larger group - surgical treatment.

Conservative treatment of the fistula of the rectum

For this method of treatment of fistula or chronic paraproctitis thermal procedures are used. Physiotherapy is used: UHF currents, quartz lamp beams, local darsonvalization, ionophoresis with novocaine, antiseptics, potassium iodide, etc. But it should be noted that all procedures usually give only a temporary effect. Positive and persistent results from such treatments for fistula of the rectum can not be obtained.

Treatment of the fistula of the rectum by the introduction of disinfectant and cauterizing solutions in them was suggested by Hippocrates. Nowadays, the following drugs are used for such purposes: gramicidin, rivanol, penicillin, iodine solution, etc. But the results of this method of treatment are also not consoling.

There is also some improvement in the treatment of pararectal fistulas with antibiotics. Purulent discharge becomes smaller, but the healing of the fistula does not occur, and it is transferred to other methods of treatment.

Such conservative methods of treatment of fistulas give not very comforting results. Only in rare cases it is possible to cure this ailment. Only surgical intervention can relieve the patient of this disease.

Treatment of the fistula of the rectum by the operative method of

The only effective method of treatment of fistula of the rectum is surgical intervention. The direct fistula of the rectum is relatively easy to remove, but the treatment process becomes more complicated as more and more muscle fibers are introduced into this inflammatory process. But even in such cases, patients undergo surgery without significant complications.

During the postoperative period the patient is under medical supervision for a while, then he is discharged from the hospital. At home, the patient takes some non-narcotic analgesics for a while( Ketanov, Ketarol, Zaldiar), also recumbent warm baths that accelerate the wound healing process, improve well-being. Before the act of defecation in the first days after the operation, it is recommended to use painkillers.

Complete healing of the wound is usually observed after 20-30 days. The period increases when an operation is carried out to remove deep-lying, complex fistulas. During the overgrowth of the joints, the physical exertion should be minimized to keep the sphincter in normal tone and prevent injury.

Possible complications in refusal of the necessary treatment

Paraproctitis is quite an insidious disease. It can not be started, if you have suspicions, you need to see a doctor immediately.

Untimely and incorrect treatment of this disease leads to complications - inflammation and non-growing purulent fistula.

Often fistulas of the rectum lead to procto-sigmoiditis, proctitis, maceration of the skin of the perineum. In many patients, the muscular fibers of the sphincter of the gut are replaced by a connective tissue, and this leads to a narrowing of the anal canal, a change in the closure function of the sphincter and, as a result, incontinence of gases and feces( mostly liquid).

A particularly formidable complication is a breakthrough of pus in the pelvic cavity, which can lead to a late diagnosis to death.

Only an integrated approach to the treatment of the fistula of the rectum with the implementation of each stage( the correct choice of operating tactics, accurate implementation of surgical intervention and properly conducted management of patients after surgery) can achieve full recovery.

In addition, during the fistula operation it is also possible to promptly remove the concomitant anal fissure, hemorrhoids and other diseases. This makes it possible to relieve the patient of all or most proctologic diseases at a time.

The guaranteed effectiveness of treatment of the fistula of the rectum by the great experience of the doctor-proctologist, the necessary equipment and time-proven methods of treatment is achieved.