The choice of drug treatment in patients with acute purulent paraproctitis

Authors

  • R Paliienko Ukrainian Military Medical Academy, Kyiv
  • M Stetsenko Kyiv City Clinical Emergency Hospital, Kyiv

DOI:

https://doi.org/10.31636/prmd.v5i1.3

Keywords:

acute paraproctitis, Rheosorbilact, Arginine hydrochloride, Pentoxifylline, Decametoxin

Abstract

Treatment of acute paraproctitis remains an urgent surgical problem which is associated with both the choice of surgical tactics and the peculiarities of postoperative management of patients. The article presents a comparative analysis of postoperative treatment of 59 patients with acute paraproctitis without concomitant pathology and vascular lesions according to the generally accepted and improved methods using Rheosorbilact, Arginine hydrochloride, Pentoxifylline, Decametoxin. Schemes of treatment are described. The rate of postoperative wound healing was assessed by the time of granulation in the wound and the decrease in wound volume. It is established that the proposed scheme of drug treatment in the postoperative period reduces the duration of the first phase of the wound process by 25–30 %, and the average weekly rate of postoperative wound healing is higher compared to the control group by 12–15 %.

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References

Bezugla OP, Belov SG, Gunko VG. Theory and practice of local treatment of purulent wounds [Teoriya ta praktyka mistsevoho likuvannya hniynykh ran] / Ed. BM Datsenko. K .: Zdorovya. 1995:384p. [In Ukraine]

Gostishchev VK. Operative purulent surgery [Operativnaya gnoynaya khirurgiya]. M .: Medicine. 1996;4. [In Russian]

Kostyuchenok BM, Karlov VA. Clinic of the wound process. Wounds and wound infection: A guide for doctors [Klinika ranevogo protsessa. Rany i ranevaya infektsiya: Ruk-vo dlya vrachey] / Ed. MI Kudrina, BM Kostyuchenko-M.: “Medicine. 1990:186-221. [In Russian]

Pods VI, Grigoryan AV, Gostishchev VK. Purulent wound [Gnoynaya rana]. M.: Medicine. 1975;13. [In Russian]

Sergeeva KA, Lenkova NA, Malchenko VE. Features of blood circulation in the area of the infected wound [Osobennosti krovoobrashcheniya v oblasti infitsirovannoy rany]. Surgery. 1982(4):23-5. [In Russian]

Fedorov VD, Svetukhin AM. Selected course of lectures on purulent surgery [Izbrannyy kurs lektsiy po gnoynoy khirurgii]. M.: Miklosh. 2007;364. [In Russian]

Fomin NN. Wound discharge is an indicator of the progress of wound healing [Ranevoye otdelyayemoye-pokazatel' khoda zazhivleniya ran]. Military-med. magazine 1974(8):71-4. [In Russian]

Shekhter AB, Berchenko GN, Nikolaev AV. Granulation tissue: inflammation and regeneration [Granulyatsionnaya tkan': vospaleniye i regeneratsiya]. Arch. pathology. 1984;46(2):20-9. [In Russian]

Corman ML. Colon and rectal surgery. Lippincott Williams And Wilkins. 2013.

Nagaichuk VI, Nazarchuk OA. "Features of the wound process in the acute period of burn disease, depending on the antiseptic used." Clinical Center of Thermal Trauma and Plastic Surgery of Vinnytsia NMU [Osoblyvosti perebihu ranovoho protsesu v hostromu periodi opikovoyi khvoroby zalezhno vid vykorystanoho antyseptyka». Klinichnyy tsentr termichnoyi travmy ta plastychnoyi khirurhiyi Vinnytsʹkoho NMU].

https://mozdocs.kiev.ua

медикаментозВибір медикаментозного лікування у хворих на гострий гнійний парапроктит

Published

2022-05-30

Issue

Section

Original article

How to Cite

1.
The choice of drug treatment in patients with acute purulent paraproctitis. prmd [Internet]. 2022 May 30 [cited 2024 Mar. 28];5(1):21-5. Available from: https://perioperative.org.ua/index.php/prtmdc/article/view/101