Treatment of wounds after operations on the anal canal and perineum

Abstract

There are alimited number of publications in both domestic and foreign literature on the treatment of wounds in patients after anal canal and perineal surgery. This remains a serious problem, since even uncomplicated wound healing after general proctological operations can take up to 45 days, and the frequency of chronic non-healing wounds reaches 34%. This significantly reduces the quality oflife of patients and increases the cost of treatment. The biological laws governing wound healing, regardless of their etiology, are generally the same and include the following phases: inflammation, tissue regeneration (proliferation) and scar formation. However, in the perineal area, wound healing is complicated by microbial contamination by intestinal flora, which can prolong the healing time. But systemic administration of antibiotics after anal canal surgery is not required routinely. The most important role is played by the use oflocal forms of ointment forms. Taking into account microbial contamination, pronounced postoperative pain syndrome and abundant wound discharge, combined healing-stimulating drugs with antimicrobial, dehydrating andlocal analgesic activity are of the greatest interest as ointments. One of these drugs is a combined ointment with antimicrobial, regenerating, anti-inflammatory andlocal anesthetic properties, which has proven effective in the treatment of purulent wounds, contributing to faster healing and reducing pain without significant side effects. The article presents a clinical example of the use of a combination ointment based on ofloxacin, methyluracil, lidocaine hydrochloride for the treatment of wounds after hemorrhoidectomy.

Keywords

• рerineal wounds
• long-term non-healing wounds
• wounds after anal canal surgery
• combination ointment
• ofloxacin
• methyluracil
• lidocaine hydrochloride