THE USE OF RADICAL INTERVENTION AND THE USE OF RADICAL INTERVENTION AND PULSE OF ANOLYTE IN COMPLEX TREATMENT OF ACUTE PARAPROCTITIS
The frequency of occurrence of the abscess is about 0.5% of the population in the Russian Federation, about 1% of all hospitalized in surgical hospitals or to 48% of patients with diseases of the rectum. The purpose of the study - improve results of complex treatment of patients with acute paraproctitis, based on the application of one-stage radical surgical intervention and the pulse of a purulent cavity with a solution of the neutral anolyte. During the execution of the study analyzed the results of treatment of 158 patients with acute paraproctitis, which were divided into control and two experimental groups. The control group consisted of 40 patients who after radical procedures (opening and drainage of purulent cavities, the elimination of the fistula orifice in the rectum) were assigned to daily treatment of purulent cavity with a solution of anolyte. 1st main group - 47 patients who only performed the autopsy, drainage and the hydro pulse of a purulent cavity anolyte. In the 2nd main group (71 patient) underwent radical intervention and a pulse of a purulent cavity neutral anolyte. To conduct a pulse of a purulent cavity was used the original device that is the source of high pressure (up to 7 atm.) allows to generate a pulsed flow of the antiseptic solution. The optimal method of complex treatment of acute abscess was performing radical surgery (excision of a crypt opening and drainage of the abscess) with pulse treatment of purulent cavity neutral anolyte (pH 7,0-7,2, ORP-+550-+800 mV) /2-I main group, the use of which allowed to reduce time of inflammation on average by 50%, the formation of granulation tissue and the epithelization - on 30-40%, to accelerate the relief of the intoxication syndrome and reduce the level of microbial contamination that significantly reduced the duration of hospitalization and rehabilitation.