Keywords
chronic paraproctitis
complicated paraproctitis
How to Cite
Abstract
Our study aimed to optimise the treatment of acute paraproctitis and rectal fistulas by conducting a multivariate study of the results of paraproctitis treatment. Fistulotomy and ligature treatment of fistulas have been shown to have a low rate of recurrence but are associated with a high risk of faecal retention disorders. The method of plastic surgery of the internal opening of the fistula with a relocated flap has a high rate of recurrence and the development of faecal incontinence in the postoperative period and cannot be considered a safe alternative to traditional methods. The ratio of the incidence of acute paraproctitis and rectal fistulas is 5:1, regardless of the type of primary intervention, which does not support the desire for primary radicalism in the surgical treatment of acute paraproctitis. Ligation of the fistula in the inner sphincter layer may be proposed as the surgery of choice for the treatment of complex types of rectal fistulas.
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