MODIFIED METHODS OF SURGICAL TREATMENT REST OF THE RECT

  • I. A. Kryvoruchko
  • I. V. Sorokina
  • K. Y. Parkhomenko
  • T. N. Firsik
  • A. P. Bozhko
Keywords: rectal fistula, surgical correction of anal fistula, mini-invasive technologies, combined methods of surgical treatment.

Abstract

Summary. The use of mini-invasive technologies for the treatment of rectal fistula prevents many postoperative complications. Complete excision of the rectal fistula is not the only important result of treatment. Ensuring a high quality of life for patients is also very important. The proposed methods of surgical correction are a significant addition to the list of existing operations.

Objective. To compare and analyze the results of the treatment patients with anal fistula by using standard techniques, the modified method LIFT and excision anal fistula with biowelding.

Materials and methods. A retro- and prospective study of the surgical treatment of 90 patients with uncomplicated transsphincteric anal fistula using different techniques from September 2018 to February 2020 was conducted.

Results. The introduction of these methods has shown a decrease in the number of relapses. This was achieved by combining complete excision of the fistula tract and minimal damage to the sphincter complex.

Conclusion. The use of combined methods of surgical treatment of rectal fistula has significant advantages over standard techniques.

References

1. Aboulian A., Kaji A.H., Kumar R.R. Early result of ligation of the intersphincteric fistula tract for fistula-in-ano (2011). Dis. Colon Rectum, 54 (3), 289–292. doi: 10.1007/DCR.0b013e318203495d.
2. Alasari, S., Kim N.K. Overview of anal fistula and systematic review of ligation of the intersphincteric fistula tract (LIFT) (2014). Tech. Coloproctol., 18 (1), 13– 22. doi: 10.1590/0102-672020170004002
3. Merlini I. Heritier A. Sphincter-sparing surgery for complex anal fistulas: radiofrequency thermocoagulation of the tract / A. Merlini I. Heritier, L. Siproudhis, G. Bessi // Colorectal Dis. – 2019. – Aug. - №21(8). - P. 961-966.
4. Hitos K. Systematic review of efficacy of LIFT procedure in cryptoglandular fistula- in-ano / K. Hitos // Jornal of coloproctology. – 2014. - №66. – P.2-11.
5. Wong S., Solomon M., Crowe P., Ooi K. Cure, continence and quality of life after treatment for fistula-in-ano (2008). ANZ Journal of Surgery, 78(8), 675–682. doi: 10.1111/j.1445-2197.2008.04616.x.
6. Саволюк С. І. Ендовенозна електрозварювальна облітерація великої підшкірної вени у лікуванні варикозної хвороби / С. І. Саволюк, В. С. Горбовець, В. А. Ходос, Р. А. Геращенко // Клінічна хірургія. – 2017. - №1. – С. 29-32.
7. Фоменко О. Ю. Нормативные показатели функционального состояния мышц запирательного аппарата прямой кишки по данным нейрофизиологического исследования / О. Ю. Фоменко, Ю. А. Шелыгин, А. Ю. Титов, С. В. Булоусова // Нервно-мышечные болезни, 2017. – Т.7. - №4. – С.39-43.
8. Фомин П. Д. Эффективность электросварочной технологи в плановой и экстренной абдоминальной хирургии / П. Д. Фомин // Сварка и термическая обработка живих тканей : материалы 9-й междунар. науч. конф. - К. : ИЭС им. Е. О. Патона НАН Украины, 2014. – 68 с.
9. Черножукова М. О. Диагностика и лечение неполных внутренних свищей прямой кишки / М. О. Черножукова, А. М. Кузьминов // Рос. жунр. гастроэнтер. гепатол. колопроктол. – 2016. - №26(5). – С. 66-73.
Published
2020-04-20
How to Cite
Kryvoruchko, I. A., Sorokina, I. V., Parkhomenko, K. Y., Firsik, T. N., & Bozhko, A. P. (2020). MODIFIED METHODS OF SURGICAL TREATMENT REST OF THE RECT. Kharkiv Surgical School, (2), 151-155. https://doi.org/10.37699/2308-7005.2.2020.30
Section
QUESTIONS OF GASTROINTESTINAL TRACT