Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2017 Vol. 25 No 2

EXCHANGE OF EXPERIENCE

DOI: https://dx.doi.org/10.18484/2305-0047.2017.2.206   |  

K.I. SERGATSKY 1, V.I. NIKOLSKY 1, M.L. POLTORAK 2, M.A. MIRONOV 2

TYPES OF PERINEAL SKIN PLASTY IN PATIENTS AFTER AN ACUTE ANAEROBIC PARAPROCTITIS

Medical Institute of FSEE HE "Penza State University"1,
SBME "Penza Regional Clinical Hospital named after N.N. Burdenko" 2,
Penza
The Russian Federation

Acute paraproctitis is the most common disease in practice of emergency proctology and comprises up to 20-40% among patients in the structure of proctologic diseases. Acute paraproctitis of anaerobic etiology refers to life-threatening diseases, the mortality rate makes up 15-40%, and in case of the generalization process it reaches 80%. In case of an extensive anaerobic soft tissue infection the primary aim is to save the patients life. After necrectomy, elimination of anaerobic infections and stabilization of patients condition it is necessary to eliminate the postoperative skin defects. Two clinical cases of the skin plasty of the perineum area in patients after the acute anaerobic paraproctitis are described. After aggressive interventions in case of the presence of common postoperative perineal skin defects in patients after the acute anaerobic paraproctitis it is advisable to perform plastic surgery. In the presence of the remaining scrotum skin flap at the root of the penis after the acute anaerobic paraproctitis it is expedient to use the flap to form neoscrotum. In the absence of the skin of the scrotum and penis after the acute anaerobic abscess it is appropriate to perform the modified operation in the manner of B.A. Vitsin with installing the subcutaneous expander for the following plasty of the penile skin.

Keywords: acute paraproctitis, anaerobic paraproctitis, anaerobic infection, scrotal defects, skin plasty of the perineum area, reconstruction of scrotum and penis, subcutaneous expander
p. 206-210 of the original issue
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Address for correspondence:
440026, Russian Federation,
Penza, Krasnaya str., 40,
FGBOU IN Penza State University,
Medical Institute, department of surgery,
Tel.: 8 902 354-04-68,
E-mail: sergatsky@bk.ru,
Konstantin I. Sergatsky
Information about the authors:
Sergatsky K.I. PhD, Ass. Professor of department of surgery, Medical Institute of FSBEE HE Penza State University.
Nikolsky V.I. MD, Professor of department of surgery, Medical Institute of FSBEE HE Penza State University.
Poltorak M.L. PhD, Head of department of esthetic medicine, SBME Penza Regional Clinical Hospital named after N.N. Burdenko.
Mironov M.A. Head of department of urology N2, SBME Penza Regional Clinical Hospital named after N.N. Burdenko.
Contacts | ©Vitebsk State Medical University, 2007