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Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
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Сomparative assessment of surgical treatment of rectal extrasphincter anal fistula

[Original research] [Surgery]
Alexandr Muravyev; Vyacheslav Malyugin; Vladimir Linchenko; Denis Khalin;

Objective: Development of a new surgical method of treatment of patients with rectal extrasphincter anal fistula.

Material and Methods: We analyzed the immediate and long-term outcomes of 128 patients with this disorder who underwent surgical treatment: with ligature method (I group), plastic methods of Jad-Roble, Blinichev (II group) and the proposed method (III group).

Results: In Group I we received 45.5 % of unsatisfactory results (sphincter deficiency) in the second group – 33.9 % (relapses), in Group III unsatisfactory result was recorded in one case – 2.8 %.

Conclusion. The developed method of mucous membrane transfer using the drug «Tachocomb» for the treatment of extrasphincter anal fistula helped to reduce the number of relapses to 5.6 % and did not lead to the occurrence of anal disease.

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Keywords: extrasphincter anal fistula, Tachocomb, perianal area, rectum


Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy