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[The treatment of acute paraproctitis in an emergency proctology department].

An experience with treatment of 3160 patients with acute paraproctitis under conditions of a specialized department is presented. Rational curative methods allow to achieve healing of 2280 patients (72.2%) with small amount of complications (22 cases). The duration of treatment was shortened to 11.2 days. No recurrences were noted.

Abscess↗

Proctologic diseases in geriatric persons.

The aim of present study was the estimation of the frequency and kind of disease of the lower part of the digestive tract in aged patients, based on rectoscopic examination. There were undertaken rectoscopy and examination per rectum of 193 patients over 65 years (mean age 70.4 years from whom only 13 patients had not suffered from any sensations on the part of digestive tract and among 239 patients ranging up to 65 (mean age value 39.6 years from whom majority suffered from various sensations on part of digestive tract and were treated in Clinic of Gastrology and Angiology or Clinic Endoscopy Department. It was stated that the most frequent disease in the elder group of patients were: proctitis (or sigmoiditis) with accompanying spastic conditions of large bowel 14 per cent and hemorrhoids 46.4 per cent. Rectal polyps and sigmoidic polyps occurred in 8.1 per cent of the whole examined group, in the elder group they ranged to 10.4 per cent and in the younger one they ranged to 6.6 per cent. Cancers in rectum and sigmoid were present in 4.1 per cent of the whole examined group, in the elder group in 5.6 per cent and 2 per cent in the younger one.

Adult↗

[Lysosomal-cation test in the control of treatment of acute proctological diseases].

An express evaluation of the functional state of neutrophil granulocytes by the indications of the lysosomal-cationic test are thought to be a necessary addition to routine clinico-laboratory methods of assessment of the wound process in patient with the suppurating epithelial coccygeal canal and acute paraproctitis. Use of cytochemical indices allow the antibacterial therapy to be optimized in patients with suppurating epithelial coccygeal canal and thus substantially decrease the amount of complications in the postoperative period.

Acute Disease↗

Office proctology and sigmoidoscopy.

Proctoscopy and sigmoidoscopy are readily acquired skills and should be routine office procedures for general practitioners. Correct positioning of the patient is of utmost importance to a successful examination.

Family Practice↗