Improving Methods for Surgical Treatment of Extra-Sphinteric and Highly Transfinteric Licors of The Rectal Intestine
DOI:
https://doi.org/10.31149/ijimm.v4i5.2917Keywords:
Rectal Fistulas, Complex Forms, Surgical TreatmentAbstract
The study included 119 patients with high transsphincteric and extra-sphincteric pararectal fistulas operated on in the coloproctology department of the SamSMU clinic. The use of the new surgical method allows for a 10% reduction in the intensity of pain syndrome in patients at rest and a 20% reduction in the frequency of postoperative complications after defecation, compared to the operation of lowering the rectal segment with subsequent fixation of the patch in the nearest observation period, and reduces the incidence of anal incontinence by 5.7% after 3 months and by 8.4% after 1 year after surgery compared to the traditional method. The use of the new surgical intervention method compared to the operation of lowering the rectal segment with subsequent fixation of the patch allows for a 10.3% reduction in disease recurrence after 1 year and a 12.4% reduction after 3 years.
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