Results of local treatment of postoperative wounds in patients with acute paraproctitis

Abstract

Background. In patients operated for acute paraproctitis, the postoperative period has its own peculiarities. The main of them is that topographiсal anatomy of perineal zone allows performing mechanical necrectomy to the limits of healthy tissues only in part. The purpose of our study was to evaluate the effectiveness of using acerbin and oflocain ointments in one group and levomekol in another group of patients during local treatment of surgical wounds after acute paraproctitis. Materials and methods. For local treatment of perineal wounds in the first phase of the wound process, patients of the main group from the first day after the operation used acerbin in ointment. At the same time, oflocain ointment was used in these patients for local treatment of anal canal. In comparison group, local treatment of purulent wounds of the perineum and anal canal was carried out with levomekol or levosin in ointments. When evaluating the local signs of the course of purulent-destructive process, we have took into account the results of cytological and bacteriological studies. Results. Elimination of microbial contamination of wounds in patients of the main group was more intense than in the comparison group. After 7–10 days of local treatment, complete bacteriological wound healing occurred in 35.7 % of patients in the main group. In the control group, complete bacteriological wound healing occurred only in 17.2 % of patients, which is 2.1 times less than in the main group of patients. The transition of the wound process to the second phase in patients of the main group was observed after 7–9 days, and in the control group it was after 9–11 days. According to our data, patients in the comparison group were staying in the hospital for 19.70 ± 0.43 days, in the main group — 14.8 ± 0.6 days (p < 0.01). Conclusions. Application of acerbin and oflocain in ointments during the local treatment of wounds in patients after surgery for acute paraproctitis substantially accelerated wound healing and improved the results of treatment.