Authors examined the results of surgical treatment for 123 breast age patients with Acute Paraproctitis (AP) being cured for the last 10 years. Was offered the less invasive, less traumatic, defensive way of fistulectomy at AP treatment in breast fed infants, reducing possible relapse up to minimum. The suggested approach provides full desquamation and removal of fistula channel epithelium lining rests, and therefore the rectum sphincter is not damaged and there is no much damage in mucus. Examining with scanning electron microscopy (SEM) of micro drainages used for micro sanitation in the form of nylon line with knots, has found that their use contributes to removal from the fistula cavity not only detritus, fibrin and desquamated cells, but pathogen content in the form of microorganisms such as sticks, and structures fungi. It was determined that it is necessary to use not only antibacterial and anti fungous therapy. The advantage of the new operational way over the traditional approach is prevention of wound reinfection. Of the 52 breast patients, 51 obtained results of treatment were quite good in the near and distant periods of illness. Application of minimally invasive fistulocriptoectomy at AP infants maximizes the improvement of the results of surgical treatment, and allows to minimize complications.

Faculty of Pediatric Surgery Tashkent Pediatric Medical Institute Uzbekistan

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