Ambulatory Excision of Perianal Duplicatures

published: 06. 04. 2010

MUDr. Pavel Zbořil, PhD. Vysloužil K., Klementa I., Starý L., Skalický P., Růžička V.

I. Surgery Clinic. Faculty Hospital in Olomouc


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 Traumastem P, which after applying to a tampon we apply to the bleeding site and by compression we facilitate its effect. Traumastem 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 epithelisation cream is applied to the defects to support healing by significantly decreasing secretion from the wound and also significantly decreasing healing time by facilitating epithelisation. 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.

Související produkty

Traumastem Biodress

Unique natural dressing for the treatment of chronic wounds
indication: leg ulcers, decubitus, diabetic ulcers, wounds healed per secundam, hard to heal wounds,burns…

The new Traumastem Biodress is the first oxidized cellulose preparation in the world for modern treatment of chronic wounds. It significantly accelerates the healing process especially granulation and epithelization…

Traumastem TAF/TAF Light

Innovative and highly effective haemostatic reticulum
indication: surgery, gynaecology, urology…

Traumastem TAF/TAF Light is a highly effective haemostatic reticulum. Traumastem TAF/TAF Light is a unique agent that stops capillary, venous and very small arterial bleeding. It has wide application field and a lot of another unique features…

Traumastem Powder

Sterile resorbable haemostatic powder

Traumastem Powder is widely used in outpatient and clinical practice and in all fields of surgery to stop capillary in the long term. It is also suitable to stop bleeding of minor superficial wounds such as scrapes, minor cuts, lacerations, etc. Traumastem Powder has a lot of unique features…

You are here: Homepage Products Traumastem Biodress Ambulatory Excision of Perianal Duplicatures