Approach to the surgical treatment of acute paraproctitis on the background of diabetes mellitus

Abstract

Purpose of the study. Was to reveal the peculiarities of surgical treatment of acute paraproctitis in patients with diabetes mellitus. Materials and methods. The analysis of results of treatment in 1591 patients for the last 8 years is carried out. In 90 (6,8%) patients, the process proceeded against the background of diabetes mellitus. Results. The criteria for choosing the mode of operation are based on the location of the abscess and the main purulent course, its relation to the elements of the external anal sphincter, the nature of the cicatricle process in the zone of the internal opening and the function of the rectum apparatus. Conclusion. Incomplex cases, surgical treatment should be two-stage and organ-preserving. To the possibility and timing of the removal of the inner hole should be approached individually.

Keywords

• acute paraproctitis
• diabetes mellitus
• surgical treatment