Video-assisted Treatment of Rectal Fistulas: the Experience and Treatment Results

V. S. Groshilin, V. G. Brizhak, E. Khoronko, P. V. Tsygankov, Y. Khoronko
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Abstract

Aim. Evaluation of the effectiveness and identification of the benefits of a video-assisted fistula treatment method using fistuloscopy, in comparison with traditional methods of surgical treatment of complex forms of chronic paraproctitis, trans- and extrasphincteric, relapsing rectal fistulas. Patients and methods. A complex analysis of the results of surgical treatment was carried out in 228 patients with chronic paraproctitis, transphincteric, ectrasphincteric, including recurrent rectal fistulas, divided into three groups (main and two control), depending on the surgical methods of chronic paraproctitis used. Results. The result of surgical treatment of pararectal fistulas in the three study groups was compared. The effectiveness of treatment was assessed by the results of immediate and long-term postoperative period. It has been established that the use of a video-assisted fistula treatment method using fistuloscopy excludes the presence of an extensive postoperative wound in the perianal region, which significantly reduces the likelihood of its secondary infection, and the sphincter trauma, and in fact virtually eliminates its insufficiency. The use of video-assisted method of treatment of fistulas made it possible to reduce the number of postoperative complications. Conclusion. The final results (92.7% of favorable outcomes) allow us to recommend a video-assisted treatment for fistulas for wide practical implementation.
电视辅助治疗直肠瘘的经验与效果
目标与传统外科治疗复杂形式的慢性顺直肠炎、经括约肌和括约肌外瘘、复发性直肠瘘的方法相比,使用瘘管镜的视频辅助瘘管治疗方法的有效性和益处的评估。患者和方法。对228例慢性顺直肠炎、经直肠炎、电直肠炎(包括复发性直肠瘘)患者的手术治疗结果进行了复杂的分析,根据所用的慢性顺直肠症的手术方法,将其分为三组(主要组和两组对照组)。结果。比较三个研究组直肠旁瘘的手术治疗结果。根据术后即刻和长期的结果来评估治疗的有效性。已经证实,使用瘘管镜的视频辅助瘘管治疗方法排除了肛周大面积术后伤口的存在,这显著降低了其继发感染和括约肌创伤的可能性,事实上几乎消除了其功能不全。使用电视辅助瘘管治疗可以减少术后并发症的数量。结论。最终结果(92.7%的良好结果)使我们能够推荐一种广泛实用的瘘管视频辅助治疗方法。
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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24 weeks
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