ADVANTAGES OF USING MODIFIED LIFT TECHNIQUE FOR SURGICAL CORRECTION OF THE RIVER FURS

  • T. M. Firsik
Keywords: rectal fistula, transphincter anal fistula, surgical correction of rectal fistula, mini-invasive techniques, LIFT technique, insufficiency of anal sphincter.

Abstract

Summary. The aim of the study was to compare and analyze the results of surgical treatment of patients with rectal fistulas by performing standard techniques and modified fistula ligation techniques.

Materials and methods: a retrospective study 55 patients who underwent surgical treatment for transfusion of the rectum between January 2017 and April 2019.  The patients were divided into two groups: 29 patients (52.7%) were operated by standard procedures, 26 patients (47.3%) underwent surgery using a modified fistula ligation technique.

Results. The use of standard techniques for surgical treatment of rectal fistula provided 86.2% satisfactory results.  However, in addition to disease recurrence, 6.8% of the development of anal sphincter insufficiency was recorded.  Using modified LIFT technology, 84.6% of successful operations were achieved.  There were no cases of sphincter apparatus failure.

Conclusions. Performing minimally invasive techniques for surgical correction of rectal fistula significantly reduces the risk of anal sphincter insufficiency in the postoperative period.

References

Жуков Б. Н. Хирургические аспекты лечения хронического парапроктита /

Б. Н. Жуков, В. Р. Исаев, А. И. Савинков, А. А. Чернов, Кудряшов С. К. // Колопроктология. – 2005. - №4. – С. 3-7.

Каторкин С. Е. Современные сфинктеросохраняющие методы лечения чрес- и экстрасфинктерных параректальных свищей / С. Е. Каторкин, А. В. Журавлев, А. А. Чернов, В. Н. Краснова // Новости хирургии. – 2018. – Т. 26. - №2. –

С. 2004-2014.

Мусин А.И. Дренирующая лигатура при сфинктеросохраняющем лечении свищей прямой кишки / А.И. Мусин, И.В. Костарев. Хирургия. – 8. – выпуск 2. – 2018. – с. 65-72.

Попков О. В. Свищи прямой кишки. Особенности диагностики и лечения / О. В. Попков, С. А. Алексеев, В. Г. Богдан, С. О. Попков // Оригинальные научные публикации. – Белорусский гос. мед. ун-т. – 2014. - №2. – С. 60-63.

Alasari S. Overview of anal fistula and systematic review of ligation of the intersphincteric fistula tract (LIFT) / S. Alasari, N. K. Kim // Tech. Coloproctol -2014. – p. 13–22.

Amato A. Evaluation and management of perianal abscess and anal fistula / A. Amato, C. Bottini, P. De Nardi // Tech. Coloproctol. – 2011. – p. 595–606.

Bleier S. Ligation of the intersphincteric fistula tract: an effective new technique for complex fistulas / S. Bleier, H. Moloo, S. M. Goldberg // Dis. Colon. Rectum. – 2010. – p. 43–46.

Published
2019-12-20
How to Cite
Firsik, T. M. (2019). ADVANTAGES OF USING MODIFIED LIFT TECHNIQUE FOR SURGICAL CORRECTION OF THE RIVER FURS. Kharkiv Surgical School, (3-4), 95-97. https://doi.org/10.37699/2308-7005.3-4.2019.20
Section
NOTES OF MEDICAL PRACTITIONER