Paraproatitis diagnostics does not cause difficulties, doubts occur only when determining the inner opening. To do this, the cavity of the abscess is injected. Treatment of acute paraproctitis only surgical, during the radical operation revealed abscesses and remove pus.
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Methods for diagnosing acute paraproatitis
Determine the inner opening of the gland at the height of inflammation is not easy, only painful is determined at the finger study («Interested») The wall of the anal canal, most often the back, since on the rear wall of the anal channel there are the deepest and wide rear-intensive crypts and it is here in most cases the primary cryptogogranduorny abscess is formed.
To accurately identify the inner opening of the oxide, its puncture is used with the introduction of vital paint abscess (better, with hydrogen peroxide), the stain of which is determined on a small gauze bottle, gently entered on the climax in the rectum on the wall opposite to the abscess. It is enough to carefully puncture (open) an abscess, evacuate the pus and, not removing the needle, enter into the cavity of the affectionate paint (without hovering, so as not to remove inflamed fabrics and not form a false move). The definition of the inner hole of the abscess is necessary, because in any case it will be or it will not be sanitized - it is necessary to know exactly its location to subsequently, if a fistula is formed, it was easier to perform a radical scheduled operation.
True acute paraprojectite is initially associated with the lumen of the rectum - infection enters the paralegal tissue from the inner hole of the abscess (or subsequently, the fistula) located in one of the morganine crypt of the anal canal. Radical surgical treatment of acute paraproatitis consists in a wide opening of the perianal abscess and eliminate its inner hole in the anal channel.
Treatment of acute paraproititis
Patients with primary sharp paraproctitis in the abscess of the taking reception is relatively slightly, the affectionant is usually revealed (pierced its front wall) in a clinic, or abscess expand spontaneously after traditional home treatment - warm baths, compresses with ichthol or with ointment of Vishnevsky. In such cases, with an external inspection, a small purulent wound is visible near the rear pass, and at the finger study, it is almost always possible to establish the localization of the inner opening.
With a spontaneous or even surgical opening of an amphibian without processing the inner hole of the abscess of radical cure, it does not occur and therefore, with an acute paraproxy (including with spontaneous opening of an ulcer), radical intervention under anesthesia is shown.
The solution to the application of a particular radical operation during acute paraproctitis should be taken only by a proctologist only, and when such patients receive such patients, it should be simply widely opened and draining an affection on the perineum and prevent the patient about a possible recycle and the formation of a recycling fistula. If this happens, you should send a patient for a planned operation to a proctology department.
After opening the mouth, it is better subsequently in a planned manner, in a proctological clinic to perform a qualified operation about a complex paragreotal fistula than trying any way to rotate a sharp paraproxy, without thinking about the future function of the locking apparatus that can be broken.
