Proctology – an overview of new reports

P. Ciesielski, M. Sala, M. Kołodziejczak
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Abstract

Every year, reports are published in medical journals to present new developments in the treatment of proctological diseases or related problems. The authors of this paper have reviewed the literature in the field of proctology spanning the last few years. A few publications have been selected and presented together with the authors’ practice-oriented comments. Research papers published in highly indexed scientific journals are subject to rigorous evaluation and review criteria, which makes them very credible. Nevertheless, there are often conflicting reports on similar or even the same surgical or pharmaceutical therapies. Time and clinical practice verify the value of these studies. The authors discuss reports on the application of chemical seton in the treatment of anal fistulas, FiXcision method in fistulectomy, outline contraindications to performing the LIFT procedure, and present the latest developments in stem cell therapy for fistulas and Botox treatment of anal fissures, as well as the application of new tools in proctological surgery. It is concluded that incorporating novel solutions into one’s own professional practice must be done with a certain amount of reserve, as their value is ultimately verified by time and distant outcomes of treatment.
肛肠学-新报告的概述
每年在医学杂志上发表报告,介绍直肠疾病或相关问题治疗的新进展。本文作者对近年来直肠学领域的文献进行了综述。本文精选了一些出版物,并附上了作者的实践性评论。发表在高索引科学期刊上的研究论文受到严格的评估和审查标准,这使得它们非常可信。然而,在类似甚至相同的手术或药物治疗上,经常有相互矛盾的报道。时间和临床实践验证了这些研究的价值。作者讨论了化学塞顿在肛瘘治疗中的应用、肛瘘切除术中的固定方法、LIFT手术的禁忌症,并介绍了干细胞治疗肛瘘和肉毒杆菌治疗肛裂的最新进展,以及直肠外科新工具的应用。结论是,将新颖的解决方案纳入自己的专业实践必须有一定的储备,因为它们的价值最终是由时间和遥远的治疗结果来验证的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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