Doktor axborotnomasi 2024, №3 (115)

Subject of the article

OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH TRANSSPHINCTERIC RECTAL FISTULAS (117-121)

Authors

K. U. Sherkulov1, S. S. Davlatov2, K. E. Rakhmanov1

Institution

1Samarkand state medical university, Samarkand, 2Bukhara state medical institute, Bukhara, Uzbekistan

Abstract

Purpose of the study: to improve the treatment results of patients with transsphincteric fistulas of the rectum by improving the technical aspects of fistulous passage excision. Materials and methods of research. 105 cases were se lected for a prospective dynamic active study, among them patients with transsphincteric fistulas of the rectum. All patients were operated on routinely and, depending on the chosen treatment tactics, were divided into two groups. The first group- Control one, included 56 (53.3%) patients who had their fistulas excised using traditional methods. The second group, the main group, included 49 (46.7%) patients in whom fistula dissection was performed using modified instruments. Results of the study. Patients who underwent LIFT surgery with the use of modified guides and without disruption of the muscle fibers of the anal groin have a significant reduction in the level of pain syndrome in the post operative period and after acts of defecation. This reduction in pain reduces the need for narcotic analgesics and sig nificantly improves the quality of life of patients. Conclusions. The use of sphincter-saving surgical methods in the main group differs from traditional operations on fistula excision with subsequent suture of the sphincter, causing a shorter period of temporary disability - 18.9±3.6 days compared to 32.7±4.6 days; more favorable postoperative course with lower intensity of pain syndrome - 1,6±0,3 on VAS scale in Control with 6,0±0,2 points; shorter hospitali zation - 10,1±2,2 days in Control with 17,4±3,1 days, and more effective postoperative rehabilitation of patients. These factors significantly improve the quality of life after surgery and contribute to lower financial costs to achieve successful treatment outcomes.

Key words

anal canal, rectum, transsphincter fistulas, surgical treatment.

Literature

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