UDK: 616.345-089

THE EFFICIENCY OF THE LIGATION OF INTERSPHINCTERIC FISTULA TRACT IN THE TREATMENT OF TRANSSPHINCTERIC ANAL FISTULAS

V.V. Homochkin1, S.S. Maskin2, N.V. Homochkina1, YU.V. Perov1, A.V. Pavlov2

ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации, 1кафедра хирургических болезней и нейрохирургии ФУВ, 2кафедра госпитальной хирургии

Abstract

Modern treatment of chronic paraproctitis is aimed at preserving the integrity of the anal sphincter in order to reduce the risk of incontinence. One of these techniques is the operation of the ligation of intersphincteric fistula tract (LIFT). The data are presented in the article about the results of sphincter-saving operation of the LIFT and comparison of the effectiveness with the traditional method of treatment-fistula excision with the sphincter suture. The main and control group included 36 patients with transsphincteric fistula-in-ano. Primary recovery in the first group was 77,7 %. Disease recurrence occurred in 16,7 % cases as intersphincteric fistula, 5,6 % developed a «complete» fistula. In the second group, the relapse occurred in 25 % cases and exclusively by the type of «complete» fistula. The phenomena of incontinence were noted only in the control group.

Keywords

fistula treatment, sphincter-saving techniques, ligation of the fistula in the interspersed space.

Contacts

Хомочкин Виталий Викторович – к. м. н., доцент кафедры хирургических болезней и нейрохирургии факультета усовершенствования врачей, Волгоградский государственный медицинский университет, e-mail: homochkinS@rambler.ru