Acute purulent paraproctitis
Paraproctitis or perianal abscess is a cavity that is filled with pus and is located in close proximity to the anus or rectum. Acute purulent paraproctitis is expressed by the following symptoms: discomfort in the anus, pain and densities in the same area, fever, chills. The transferred perianal abscess is in most cases the cause of the fistula. Fistula is a stroke that forms under the skin and connects the skin of the buttocks and the inflamed anal gland outside the anus. Inside the anus( anus) are anal glands that can become infected when clogged. When they become infected, a perianal abscess occurs.
Signs of the manifestation of acute purulent paraproctitis
As a result of acute infectious inflammation of the anal gland, purulent paraproctitis occurs. This is due to the penetration into the tissue of the gland of a foreign substance or bacteria. Such infections can be formed more often with various inflammatory bowel diseases.
In the area of the anus there is swelling and swelling, pain appears, the temperature rises. Symptoms such as weakness and chills, general malaise are possible. With paraproctitis, fistula of the rectum is formed, but not always. It is formed in 50% of patients, and there is still no method, at the moment, with which you can accurately find out whether a fistula is formed.
In the treatment of paraproctitis, the skin is cut near the anus. Pus from the infected cavity is removed and pressure inside it is reduced. If the lesion is not deep, then such an operation can be done in an outpatient setting using local anesthesia. If an acute purulent abscess is large and deep, then hospitalization is required. Treatment with antibiotics is not effective, since antibiotics can not penetrate the infected cavity.
Treatment methods
If acute paraproctitis is formed and rectus fistula is observed, only surgical intervention is necessary. Such an operation should be performed only by a specialist - a coloproctology doctor. Despite the fact that the fistula develops in most cases, some time after the abscess drainage, simultaneous treatment of paraproctitis and fistula is permissible. When surgical treatment of the fistula, the main task is to reveal the fistulous course.
After the performed operation, the patient will have a sensation of pain, within 1-1, 5 weeks. To relieve it, you need painkillers or pills. The period of incapacity for work continues under the supervision of a doctor in a polyclinic with daily bandages. Aftercare should be done at home. It is recommended to add dietary fiber or laxatives to the diet, it is also good to do three, four times a day to make sessile baths. It is necessary to impose gauze bandages on the wound. If there is discomfort in the wound area, you need to see a doctor. If the wound heals properly, then the risk of re-education is small. In spite of this, it is necessary to comply with all the prescriptions of the coloproctology doctor.
Surgeons the coloproctologists have all the documents confirming their knowledge of general surgery. And they are also specialized in the field of knowledge of everything related to diseases of the colon and rectum. They are highly qualified specialists in the surgical and non-surgical treatment of various diseases. Such specialists treat various benign and malignant formations. Take care of yourself and be well!
