Surgical methods of treatment of extrasphincter and transsphincteric fistulas of the rectum (literature review)
The aim of review. To present literature data on surgical treatment of extrasphincteric and transsphincteric fistulas of rectum.Key points. Treatment of fistulas of rectum remains a challenge because of risk of frequent relapses varying from 4,7 to 60%. Radical treatment methods are overly traumatic...
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| Format: | Article |
| Language: | Russian |
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Gastro LLC
2015-09-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/1057 |
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| author | I. S. Bogormistrov S. A. Frolov A. M. Kuzminov A. S. Borodkin V. Yu. Korolik Sh. T. Minbayev |
| author_facet | I. S. Bogormistrov S. A. Frolov A. M. Kuzminov A. S. Borodkin V. Yu. Korolik Sh. T. Minbayev |
| author_sort | I. S. Bogormistrov |
| collection | DOAJ |
| description | The aim of review. To present literature data on surgical treatment of extrasphincteric and transsphincteric fistulas of rectum.Key points. Treatment of fistulas of rectum remains a challenge because of risk of frequent relapses varying from 4,7 to 60%. Radical treatment methods are overly traumatic and result in severe fibrotic changes in the anal canal structures that are accompanied by high risk of anal sphincter incompetence - up to 83%. Now highly effective methods with application of various implants to eliminate tissue defect and improve regeneration are presented in the literature more and more commonly. Application of collagenic implants allows to decrease traumatization of sphincter fibres and thus to reduce to minimum risk of anal sphincter incompetence.Conclusion. Elimination of postoperative anal incontinence is a priority task in treatment of extrasphincter fistulas of rectum. |
| format | Article |
| id | doaj-art-9d27f621cade4f8192daee91992d8ed0 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2015-09-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-9d27f621cade4f8192daee91992d8ed02025-02-10T16:14:34ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732015-09-0125492100662Surgical methods of treatment of extrasphincter and transsphincteric fistulas of the rectum (literature review)I. S. Bogormistrov0S. A. Frolov1A. M. Kuzminov2A. S. Borodkin3V. Yu. Korolik4Sh. T. Minbayev5Ryzhikh State Scientific Center of Coloproctology, Ministry of healthcare of the Russian Federation, Ministry of Healthcare of the Russian FederationRyzhikh State Scientific Center of Coloproctology, Ministry of healthcare of the Russian Federation, Ministry of Healthcare of the Russian FederationRyzhikh State Scientific Center of Coloproctology, Ministry of healthcare of the Russian Federation, Ministry of Healthcare of the Russian FederationRyzhikh State Scientific Center of Coloproctology, Ministry of healthcare of the Russian Federation, Ministry of Healthcare of the Russian FederationRyzhikh State Scientific Center of Coloproctology, Ministry of healthcare of the Russian Federation, Ministry of Healthcare of the Russian FederationRyzhikh State Scientific Center of Coloproctology, Ministry of healthcare of the Russian Federation, Ministry of Healthcare of the Russian FederationThe aim of review. To present literature data on surgical treatment of extrasphincteric and transsphincteric fistulas of rectum.Key points. Treatment of fistulas of rectum remains a challenge because of risk of frequent relapses varying from 4,7 to 60%. Radical treatment methods are overly traumatic and result in severe fibrotic changes in the anal canal structures that are accompanied by high risk of anal sphincter incompetence - up to 83%. Now highly effective methods with application of various implants to eliminate tissue defect and improve regeneration are presented in the literature more and more commonly. Application of collagenic implants allows to decrease traumatization of sphincter fibres and thus to reduce to minimum risk of anal sphincter incompetence.Conclusion. Elimination of postoperative anal incontinence is a priority task in treatment of extrasphincter fistulas of rectum.https://www.gastro-j.ru/jour/article/view/1057extrasphincter fistula of rectumfistula treatmentfistula treatment with primary sphincter reconstructionfibrinous gluefistula laser closure (filac™)ligation of the intersphincteric fistula tract (lift)video-assisted anal fistula treatment (vaaft)collagenic implantsautologous stem cells |
| spellingShingle | I. S. Bogormistrov S. A. Frolov A. M. Kuzminov A. S. Borodkin V. Yu. Korolik Sh. T. Minbayev Surgical methods of treatment of extrasphincter and transsphincteric fistulas of the rectum (literature review) Российский журнал гастроэнтерологии, гепатологии, колопроктологии extrasphincter fistula of rectum fistula treatment fistula treatment with primary sphincter reconstruction fibrinous glue fistula laser closure (filac™) ligation of the intersphincteric fistula tract (lift) video-assisted anal fistula treatment (vaaft) collagenic implants autologous stem cells |
| title | Surgical methods of treatment of extrasphincter and transsphincteric fistulas of the rectum (literature review) |
| title_full | Surgical methods of treatment of extrasphincter and transsphincteric fistulas of the rectum (literature review) |
| title_fullStr | Surgical methods of treatment of extrasphincter and transsphincteric fistulas of the rectum (literature review) |
| title_full_unstemmed | Surgical methods of treatment of extrasphincter and transsphincteric fistulas of the rectum (literature review) |
| title_short | Surgical methods of treatment of extrasphincter and transsphincteric fistulas of the rectum (literature review) |
| title_sort | surgical methods of treatment of extrasphincter and transsphincteric fistulas of the rectum literature review |
| topic | extrasphincter fistula of rectum fistula treatment fistula treatment with primary sphincter reconstruction fibrinous glue fistula laser closure (filac™) ligation of the intersphincteric fistula tract (lift) video-assisted anal fistula treatment (vaaft) collagenic implants autologous stem cells |
| url | https://www.gastro-j.ru/jour/article/view/1057 |
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