Ruzimuradov Najmiddin Bakhriddinovich (1), Dusiyarov Mukhammad Mukumbayevich (2), Khuzhabayev Safarboy Tukhtabayevich (3)
A study was conducted based on the analysis of the results of diagnosis and treatment of 124 patients with anaerobic paraproctitis. The main anaerobic pathogen was clostridial infection (41.1%). In 22.6% of patients, a polymicrobial etiology of the pathological process was noted. Escherichia coli was detected in 46.8% of cases. In 17.7%, involvement of the perineal muscle structures in the pathological process was noted. This category of patients was characterized by a particularly severe and aggressive course of the disease. The median area of the lesion was 160 cm2, which required extensive operations to remove necrotic tissues. In the structure of postoperative complications, clinically significant (III - V degrees Clavien-Dindo), requiring repeated surgery or threatening the patient's life, occurred in 16.9% of patients. Mortality is 8.8%.
[1] G., "Rectal Surgery," Moscow: Medicine, 2018.
[2] Zimin, A. A., "Modern approaches to paraproctitis treatment," Surgery Journal, 2020.
[3] Gerasimenko, A. I., "Anaerobic Infections in Surgical Practice," Surgery, 2019.
[4] Filippov, K. N., "Diagnosis and Treatment of Anaerobic Paraproctitis," Russian Journal of Gastroenterology, Hepatology, Coloproctology, 2021.
[5] Semenov, V. P., "Anaerobic Infections in Coloproctology," Coloproctology, 2020.
[6] Melnikov, S. K., "Surgical Diseases and Their Treatment," Moscow: GEOTAR-Media, 2017.
[7] Tarasov, V. I., "Surgical treatment of abscesses: anatomy, diagnosis, treatment," Journal of Domestic Surgery, 2018.
[8] Turkin, A. B., "Tactics of surgical treatment of acute paraproctitis," Bulletin of Surgery, 2021.
[9] Aleksandrov, I. V., "Post-operative complications in surgical treatment of paraproctitis," "Scientific Herald" journal, 2022.
[10] Efremov, R. P., "Management of Anaerobic Infections," Academy of Medical Sciences, 2019.
[11] Sudarikov, A. N., "Comparative study of surgical treatment methods for paraproctitis," Journal of Coloproctology, 2020.
[12] Chernov, P. I., "Anaerobic Infections in Patients with Rectal Injuries," Coloproctology, 2021.