Koloproktologiâ最新文献

筛选

英文中文

Comparative analysis of the effectiveness of the treatment of transsphincter anal fistulas by various methods 不同方法治疗经括约肌肛瘘的疗效比较分析

Koloproktologiâ Pub Date : 2023-09-21 DOI: 10.33878/2073-7556-2023-22-3-70-74

E. V. Denisenko, V. L. Denisenko, Yu. M. Gain, K. G. Tsyplakov, G. D. Korobov

{"title":"Comparative analysis of the effectiveness of the treatment of transsphincter anal fistulas by various methods","authors":"E. V. Denisenko, V. L. Denisenko, Yu. M. Gain, K. G. Tsyplakov, G. D. Korobov","doi":"10.33878/2073-7556-2023-22-3-70-74","DOIUrl":"https://doi.org/10.33878/2073-7556-2023-22-3-70-74","url":null,"abstract":"AIM: to assess the effectiveness late results of laser technologies in the treatment of anal fistulas compared with traditional methods (excision of the fistula followed by ligature, excision of the fistula followed by restoration of the sphincter). PATIENTS AND METHODS: a single-center retrospective study included 150 patients. Patients underwent 3 variants of surgical intervention. In the first group (50 patients), the fistula was treated with laser technology. In the 2nd group (50 patients), the fistula was excised followed by seton, in the 3rd group (50 patients), the fistula was excised followed by sphincteroplasty. Quality of life (according to the SF-36 school), as well as differences in the proportion of relapses on the 180th day after the surgery was carried out. RESULTS: it was revealed that higher indicators of the components of physical health (PH) (F = 11260.72 p < 0.001), as well as mental health (MN) (F = 10459.6 p < 0.001) were detected in the group of patients treated with laser technology. The calculation of significant differences in the observation groups showed that with the number of observations more than the specified one, it is possible to state a decrease in the number of relapses with the laser treatment method by 2.2 times compared with traditional methods. CONCLUSION: laser technology for anal fistulas is a progressive method that provides a significant reduce of recurrence rate, as well as improving the quality of life of patients in late postoperative period.","PeriodicalId":475026,"journal":{"name":"Koloproktologiâ","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136128695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of minimally invasive and surgical methods of treatment of chronic hemorrhoids using phlebotonics 静脉注射剂治疗慢性痔疮的微创和手术方法的有效性

Koloproktologiâ Pub Date : 2023-06-21 DOI: 10.33878/2073-7556-2023-22-2-49-56

B. M. Belik, A. N. Kovalev

{"title":"Effectiveness of minimally invasive and surgical methods of treatment of chronic hemorrhoids using phlebotonics","authors":"B. M. Belik, A. N. Kovalev","doi":"10.33878/2073-7556-2023-22-2-49-56","DOIUrl":"https://doi.org/10.33878/2073-7556-2023-22-2-49-56","url":null,"abstract":"PURPOSE: to evaluate the effect of phlebotropic therapy on the effectiveness of surgical treatment of hemorrhoids. PATIENTS AND METHODS: a comparative evaluation of the results of treatment of 406 patients with chronic hemorrhoids of stages III and IV was performed. With surgical treatment of hemorrhoids, standard conservative therapy was performed in 205 patients (group I) and 201 patients (group II) in the perioperative period, as well as at the rehabilitation stage, the standard program of drug treatment was supplemented with phlebotropic therapy using Detralex (1000 mg). RESULTS: in group II patients, compared with group I patients, pain syndrome was stopped faster, quality of life and working capacity were restored, and the period of epithelization of the anal canal wound was shortened (21.4 ± 1.7 days versus 26.8 ± 2.1 days). This made it possible to increase the number of good and satisfactory results of surgical treatment of hemorrhoids from 82.4% to 91.5%. CONCLUSION: outpatient surgical treatment of hemorrhoids of stages III-IV in combination with phlebotropic therapy can reduce the number of postoperative complications from 17.6% to 8.5% and increase the overall number of good and satisfactory treatment results from 82.4% to 91.5% (p < 0.005).","PeriodicalId":475026,"journal":{"name":"Koloproktologiâ","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136296404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of complications after surgery for Hirschsprung's disease using posterior sagittal transanal approach (clinical observation) 后矢状面经肛门入路治疗先天性巨结肠术后并发症(临床观察)

Koloproktologiâ Pub Date : 2023-06-04 DOI: 10.33878/2073-7556-2023-22-2-125

N. M. Stepanova, V. A. Novozhilov, D. A. Zvonkov, I. V. Latynceva

引用次数: 0