[Ambulatory excision of perianal duplicatures].

Abstract

For successful outpatient treatment of perianal duplicatures, it was necessary to solve two main problems. First was bleeding from wounds following excision of perianal duplicatures, which is often marked and "pulsating", as well as to accelerate defect healing after excision so as to eliminate or minimize sick leave following this outpatient procedure. To effectively stop acute bleeding we use Traumacel powder, which after applying to a tampon we apply to the bleeding site and by compression we facilitate its effect. Traumacel spray also has a significant haemostatic effect, which we spray directly onto the bleeding site, where it reacts and creates a strongly adhering coagulum, which has significant haemostatic properties. This effect may also be potentiated by applying compression in the form of tampon or longuette. After cessation of acute bleeding, as prevention against future seepage, surgical haemostatic materials are used, which adhere to the wound, or bleeding lesion, and are left in situ for approximately 12 hours. After stopping the bleeding, hydrocortisone and epithelializing cream is applied to the defects to support healing by significantly decreasing secretion from the wound and also significantly decreasing healing time by facilitating epithelization. At outpatient check-ups, wound surfaces treated as such are cleanly granulated without necrotic coating and with minimal surrounding redness. The total healing time is generally 2 weeks, whereas after 4 days the patients are almost without troubles. This effective healing not only lessens the patient's pain, but also improves the comfort of the patient and allows a more rapid return to daily activities.

• Authors: P Zboril, K Vyslouzil, I Klementa, L Starý, P Skalický, V Růzicka
• Journal: Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti (Rozhl Chir) Vol. 89 Issue 12 Pg. 774-9 (Dec 2010) ISSN: 0035-9351 [Print] Czech Republic
• Vernacular Title: Ambulantní excize perianálnich duplikatur.
• PMID: 21404520 (Publication Type: English Abstract, Journal Article)

Topics

• Ambulatory Surgical Procedures
• Anus Diseases (etiology, surgery)
• Blood Loss, Surgical
• Hemorrhoids (complications, surgery)
• Hemostatic Techniques
• Humans
• Pain, Postoperative (drug therapy)