PMID- 36472270
OWN - NLM
STAT- MEDLINE
DCOM- 20221207
LR  - 20221207
IS  - 0043-5147 (Print)
IS  - 0043-5147 (Linking)
VI  - 75
IP  - 10
DP  - 2022
TI  - OPTIMIZATION OF PARARECTAL FISTULA SURGICAL TREATMENT.
PG  - 2412-2415
LID - 10.36740/WLek202210117 [doi]
AB  - OBJECTIVE: The aim: To improve the results of treatment of complex PF by the 
      ligation of the intersphincteric fistula tract (LIFT). PATIENTS AND METHODS: 
      Materials and methods: 27 patients with transsphincteric fistulas of the rectum 
      of different complexity have been operated by two methods: by ligature method 
      ("cutting seton") and by the ligation of the intersphincteric fistula tract 
      (LIFT). RESULTS: Results: No early complications were noticed in patients who had 
      been applied the technique of fistula ligation in the postoperative period. The 
      pain syndrome was expressed insignificantly. The rehabilitation period was less 
      than 12 days. Having analyzed the long-term results of the observation period 
      lasting up to 26 months, we arrived at the conclusion that the choice of surgical 
      treatment had little effect on the recurrence rate of pararectal fistula (21.4 
      and 15.38%, respectively). However, one LIFT patient had gas incontinence within 
      1 year of surgery in contrast to 4 patients who had had a cutting ligature method 
      having anal incontinence for 1 year and 1 patient - during the observation 
      period. CONCLUSION: Conclusions: Ligation of the fistula in the intersphincter 
      tract is an effective sphincter-preserving operation, does not require additional 
      equipment and expensive consumables, is characterized by minimal damage to the 
      anal sphincter and a high percentage of closure of PF (84.6%). The recurrence 
      rate does not exceed 15.38%.
FAU - Rosul, Myroslav V
AU  - Rosul MV
AD  - UZHHOROD NATIONAL UNIVERSITY, UZHHOROD, UKRAINE.
FAU - Patskan, Bohdan M
AU  - Patskan BM
AD  - UZHHOROD NATIONAL UNIVERSITY, UZHHOROD, UKRAINE.
FAU - Skrypinets, Yurij P
AU  - Skrypinets YP
AD  - UZHHOROD NATIONAL UNIVERSITY, UZHHOROD, UKRAINE.
LA  - eng
PT  - Journal Article
PL  - Poland
TA  - Wiad Lek
JT  - Wiadomosci lekarskie (Warsaw, Poland : 1960)
JID - 9705467
SB  - IM
MH  - Humans
MH  - *Rectal Fistula/surgery/etiology
MH  - Recurrence
MH  - *Fecal Incontinence/etiology
MH  - Ligation/adverse effects/methods
MH  - Anal Canal/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - LIFT operation (intersphincter ligation)
OT  - pararectal fistula
EDAT- 2022/12/07 06:00
MHDA- 2023/02/25 06:00
CRDT- 2022/12/06 06:12
PHST- 2022/12/06 06:12 [entrez]
PHST- 2022/12/07 06:00 [pubmed]
PHST- 2023/02/25 06:00 [medline]
AID - 10.36740/WLek202210117 [doi]
PST - ppublish
SO  - Wiad Lek. 2022;75(10):2412-2415. doi: 10.36740/WLek202210117.