EVALUATION OF THE EFFECTIVENESS TRANSLOCATIONAL PROCTOPLASTY IN CHRONIC PARAPROCTITIS
Abstract
After surgical treatment of chronic extrasphincteric fistulas 5-30% develop recurrence in 15-80% - anal incontinence. To improve the results of a new method of surgical treatment - translocational proctoplasty comprising excision of fistulous and eliminate the internal opening by moving the mucosa of the anal canal. All participants are divided into two groups using a new method (basic, n=36) and a ligation method (control, n=45). Day bed in the main group 13,9±1,5 days in the control - 18,6±1,7 days (p <0,05). The results of postoperative sphincterometry in the main group - in the normal range, the control -Significant decreased tone and minimize. Recurrence of the disease in the study group was not in control -2 (4,4%) (p <0,05). The proposed method is more effective than the a ligation method.
About the Author
N. V. Makarov
Medical academy S. I. Georgievskiy of FSBI HT «Crimea state university V. I. Vernadskiy»
Russian Federation
Russian Federation
References
1. Воробьев Г. И. Основы колопроктологии. - М.: ООО МИА, 2006. - 431 с.
2. Дульцев Ю. В., Саламов К. Н. Парапроктит. - М.: Медицина, 1981. - 208 с.
3. Кондратенко П. Г. Клиническая колопроктология. - Донецк, 2006. - C. 263-267.
4. Лурин И. А. Сравнительная оценка отдаленных результатов лечения больных с экстрасфинктерными свищами прямой кишки с использованием современных хирургических методик // Український медичний часопис. - 2006. - № 4 (54). -C. 31-37.
5. Ривкин В. Л., Капуллер Л. Л., Белоусова Е. А. Колопроктология. - М.: ГЭОТАР-Медиа, 2011. - 367 с.
Review
For citations:
Makarov N.V. EVALUATION OF THE EFFECTIVENESS TRANSLOCATIONAL PROCTOPLASTY IN CHRONIC PARAPROCTITIS. Kuban Scientific Medical Bulletin. 2015;(3):77-79. (In Russ.)
Views:
301
Email this article 