Recovery after paraproctitis surgery

Surgery is the most reliable way to treat paraproctitis. It can be emergency or planned, depending on the course of the disease and the timeliness of diagnosis. After the operation, the patient should receive comprehensive care in accordance with the doctor's recommendations. It is also necessary to choose the right medicines. Their use will be required to speed up the recovery period.

Features of surgery and rehabilitation

The operation is prescribed in the vast majority of cases, only 10-15% of patients can do without surgery without facing negative consequences. The main goal of treatment is to remove the purulent focus (abscess), since it is he who provokes inflammatory processes.

After the operation, a wound remains, which heals over time. The first positive dynamics is observed already 2-3 weeks after the procedure. But this is only if the patient was provided with proper care during the rehabilitation period.

The operation can be multi-stage (carried out in 2 stages). First, the abscess is stopped, then the paraanal glands and anal sinuses. Stage 2 of the operation is carried out 5-10 days after 1 surgery. The exact date is assigned depending on the rate of tissue healing.

Before surgery, adults are prescribed anti-inflammatory and antibacterial medicines that prepare the body for subsequent intervention. The procedure is most difficult for patients of retirement age, so they require special care.

As a rule, in the postoperative period, the following actions should be performed:

• follow a diet;
• attend physiotherapy procedures (after consulting a doctor);
• treat the wound;
• try to restore the chair;
• take medication if necessary.

In the process of rehabilitation after paraproctitis surgery, a person should be observed by a doctor. The wound should be checked periodically. In the doctor's office, the patient may experience discomfort, since during the examination there is not only a change of dressing, but also palpation of the operated area.

What happens immediately after the operation

If the operation is one-stage, then it takes from 30 to 60 minutes. For the procedure, caudal or epidural anesthesia is used. In any case, the drug is administered locally. The patient fully recovers from anesthesia in a few hours.

A person may experience severe pain after the effect of the anesthetic drug wears off. Under such circumstances, the doctor prescribes painkillers. Eating is possible only after 12 hours after surgery. Food should be easily digestible, not greasy or spicy. Drinking immediately after the operation is also impossible: if the patient is thirsty, then his lips are moistened with water.

Under favorable circumstances, the patient is discharged on average after 3-4 days.

A multi-stage operation requires the patient to be in the clinic under constant medical supervision. It is necessary to monitor the process of tissue regeneration in order to determine the date for reoperation. Two-stage operations for paraproctitis are carried out much more often, since the complete removal of the focus of the disease cannot be performed at a time if there are inflamed tissues around the abscess.

During discharge, patients are prescribed antibiotics, antiviral drugs. This is a necessary measure to avoid the occurrence of an inflammatory process in the body. During the recovery period after paraproctitis surgery, a complication may occur that will lead to a relapse of the pathology.

Recovery after surgery at home

The first step is to take care of the wound. It is necessary to constantly change the bandage and control the process of tissue healing. A non-healing wound indicates complications.

To ensure proper care, you will need drugs:

1. Antibiotics and antivirals. They are prescribed exclusively by a doctor in accordance with the individual characteristics of the patient's body and his postoperative condition.
2. Antiseptics. Any antiseptic solution is suitable for treating a wound. As a rule, doctors advise the use of Chlorhexidine or Fukortsin.
3. Antimicrobial and anti-inflammatory ointments. Apply after an antiseptic solution. Levomekol or Levomethyl is suitable for processing the operated area. The drugs are analogues, therefore they have the same effect on the affected area.

You need to change the bandage after every trip to the toilet. Otherwise, any infection can get into the wound. To replace the bandage, you can use pharmacy gauze or a bandage.

The procedure is carried out in several stages:

• removal of the old bandage;
• treatment of the wound with an antiseptic solution;
• application of a healing anti-inflammatory ointment (only on a dry area);
• applying a new dressing over the affected area of ​​​​the skin.

After each trip to the toilet, you need to take a sitz bath. They are made from a mixture of warm water with potassium permanganate. This simultaneously helps to clean and disinfect the wound. Instead of potassium permanganate, you can use a solution of chamomile or other herbs.

With proper care, the wound begins to heal after 2-4 weeks. If this does not happen, then you should contact your doctor. Depending on the cause of the complication, the specialist may prescribe local antibiotics or prescribe a second operation.

Do not attempt to place a gauze or bandage directly into the wound, as this will interfere with the outflow of fluid.

At first, a large amount of exudate may be released from the affected area. If this causes discomfort to the patient, then any absorbent material can be applied over the wound. Ordinary sanitary pads are best, as they stick to the skin less than, for example, cotton pads.

Fluid mixed with blood may be released from the wound, but you should not worry about this. A doctor should be consulted if the patient begins to bleed (continuous discharge of blood from the operated area).

Chair restoration

Rehabilitation of the stool after paraproctitis surgery takes an average of 2 to 4 days. As a rule, it returns to normal even while the patient is in the hospital. If this does not happen, then the doctor prescribes a cleansing enema. If necessary, it can be done several times.

Laxatives are not recommended for all patients. And even if drugs of this kind are prescribed by a doctor, they have an extremely mild effect and natural composition. It is not recommended to choose and take laxative medications on your own.

You can normalize the stool at home with the help of an enema, consisting of:

• vaseline oil;
• propolis (40-50%);
• emulsion ointment with an antiviral component (for example, interferon).

The oil base promotes the rapid removal of feces.

Diet

Surgery and recovery after paraproctitis is a difficult process that puts stress on the body. In addition to a special diet, the doctor may prescribe immunostimulating drugs and vitamins. Especially often such medicines are recommended for patients of retirement age and people with weakened immune systems.

A special diet includes foods that are easily absorbed by the body. At first, the patient should not eat meat (in any form). Starting from the second postoperative week, boiled lean chicken is allowed.

A person needs to completely exclude sweet, starchy, spicy, fatty and gas-forming foods (in particular, carbonated water) from the diet. It is not recommended to consume excessively salty and seasoned food.

The ideal diet includes soups, cereals, boiled or steamed fish, white meat, vegetables and fruits. In order to speed up the recovery of the stool, dried fruits are used, especially prunes. This is a good replacement for pharmacy natural laxatives.

You need to strictly adhere to the diet for at least a month of the rehabilitation period.

Additional rehabilitation measures

The patient can be registered for physiotherapy procedures (for example, ultraviolet irradiation), but only after consultation with the attending physician. Physiotherapy is usually carried out for 1-2 weeks.

During the rehabilitation period, it is necessary to reduce the load on the body as much as possible, in particular, the physical load. It is recommended to observe sterility at home (in the toilet, in the patient's room).

Conclusion

If all the recommendations are followed, the human body is restored within a few weeks after surgery. In case of complications, it is extremely important to contact specialists from the clinic where the operation was performed. Doctors in the district clinic specialize primarily in outpatient care, so they may not provide proper care or miss important points in the patient's condition.