title: [Anaerobic paraproctitis].
abstract: Anaerobic paraproctitis (AP) was seen in 8.6% of 1057 cases with acute paraproctitis. Severe general condition of the patient, vast damage, fetid wound secretion, extensive detachment and necrosis of tissues were the main AP symptoms. Radical excision of affected tissues with daily revision and sanatation in combination with intensive general therapy permits to reduce mortality to 4.3%. In early postoperative period reversible insufficiency of anal sphincter developed in 16.1% AP patients. It is necessary to close wounds as early as possible. Perforated cutaneous pedicle flap from posterior wall of the scrotum may be successfully used for plastic repair of perineum wound.
authors.forename: S O
authors.initials: SO
authors.lastname: Trenin
authors.forename: L S
authors.initials: LS
authors.lastname: Gel'fenbeĭn
authors.forename: A V
authors.initials: AV
authors.lastname: Shishkov
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001442:Bacteroides Infections / Q000401:mortality / Q000473:pathology* / Q000601:surgery*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000401:mortality / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010460:Peptococcus; D011182:Postoperative Care; D011349:Proctitis / Q000382:microbiology / Q000401:mortality / Q000473:pathology* / Q000601:surgery*