Improving the Diagnosis and Surgical Treatment of Transsphincteric and Extrasphincteric Pararectal Fistulas

Transsphincteric and extrasphincteric pararectal fistulas represent one of the challenging and unresolved problems in colorectal surgery, pelvic surgery, and proctology. Various surgical methods have been proposed to treat these fistulas, yet the rates of recurrence and postoperative complications remain high. The primary reason for this is the lack of an individualized approach in determining the surgical treatment method for transsphincteric and extrasphincteric pararectal fistulas, prompting the search for newer surgical technologies and the development of treatment algorithms.