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PubMedDate not supplied

[Pathology of the anal region and its care in proctologic practice].

The anal dermis, with its sensitive receptors, is an important part of the anorectal apparatus. Anal fissures and perianal phlebothrombosis can cause considerable pain. According to anatomical diagnostics, there are three clear stages in the development of an anal fissure. At the first stage, a treatment using a glass dilator gives good results. The subsequent two stages, however, require surgery. In current practice there are two types of operation: the association of a fissurectomy with dorsal sphincterotomy under local or general anaesthetic; or fissurectomy associated with an inferior lateral sphincterotomy, a technique improved by Notaras. A comparison between the two types of treatment shows that fissurectomy associated with lateral sphincterotomy constitutes the more effective method. As the rate of recidivism and complications is the same, the operation can be performed on an ambulatory basis during hours of consultation. Thrombectomy under local anaesthetic may be used for the treatment of perianal phlebothrombosis in its most critical phases. This always relieves the patient's pain, and it, too, may be performed on an ambulatory basis.

Anus Diseases↗
PubMed1995

[Role and perspectives of the use of laparoscopic surgery in colo-proctology].

A comparative analysis of the performance of 51 operations for resection of various parts of the colon, among which were 24 operations conducted by laparoscopy, was undertaken. Certain advantages of laparoscopic resection of the colon, as well as the possibility of lymph dissection, which meets the principles of oncological surgery, were revealed.

Colonic Diseases↗
PubMedDate not supplied

[Daily aspects of proctology].

Revue of the commonest anal diseases encountered in the daily practice of general medicine. Hemorrhoids share their symptoms with a whole series of other diseases, and it is this lack of specificity that always calls for a thorough examination to reach a precise diagnosis. The most usual and accessible methods of treatment are described. Anal fissures: their diagnosis and, mostly, their prompt conservative treatment lead to frequent therapeutic success. Anal fistulas: if their description and origins are interesting, it is mostly the prompt incision and drainage of the abscess, by the general practitioner, without use of antibiotics, that will prevent the formation of fistulas. Pilonidal sinuses must be recognized as incurable without the help of surgery. Condylomas can often be treated at the office.

Anus Diseases↗
PubMed1994

[The early withdrawal of antibiotics in the postoperative period as the cause of the occurrence of suppurative inflammatory complications in oncological proctology].

The problems of antibiotics use duration after operations on the colon are discussed in the article. The authors supposes the early antibiotics abolition inexpedient because of serious complications appearance possibility. Even during the noncomplicated postoperative course the optimal antibiotic therapy duration is 7-10 days long.

Adenocarcinoma↗
PubMed1993

[Proctological surgery in the day-hospital regimen].

567 haemorrohoidectomies 83 of which total haemorrhoidectomies for piles with surgical indications, were performed with recourse to day-hospital admission. The authors examine the results of this experience and advise this therapy and this type of admission for pathologies with different cost/benefit ratio.

Ambulatory Surgical Procedures↗