PREDICTION OF ANAL SPHINCTER PECTENOSIS IN COMPLEX FORMS OF PARAPROCTITIS
Abstract
Aim. To develop objective predictive risk factors for the development of anal sphincter pectenosis in patients with severe forms of rectal fistulas to improve the long-term results of surgical treatment. Material and methods. We have conducted a retrospective analysis and a prospective study of 170 patients with rectal fistulas. The study groups were formed according to the nature of the course of the postoperative period: the first group consisted of patients with severe rectal fistulas with the development of pectenosis of the anal sphincter (83). The second included patients with a smooth course of the postoperative period (87). Results and discussion. It was found that 23.6% of patients with severe rectal fistulas complicated by pectenosis of the anal sphincter developed various degrees of anal sphincter insufficiency. An objective prognostic risk factor for the development of the pectenosis of the anal sphincter in patients with severe rectal fistulas is the form of the disease (anaerobic clostridial, non-clostridial and recurrent); localization (posterior rectal wall); type of infection caused by acute paraproctitis (anaerobic clostridial and non-clostridial). Conclusion. Objective criteria for the prognosis of the development of anal sphincter insufficiency in patients with severe rectal fistulas complicated by anal sphincter pectenosis are the severity index of anal sphincter pectenosis and the degree of rectal fistula dysfunction.
About the Authors
D. K. Mukhabbatov
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Mukhabbatov Djiyonhon Kurbonovich - professor of the Department of General Surgery №1
734032, Dushanbe, Rudaki Ave. 139
F. Kh. Nozimov
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Department of General Surgery №1
734032, Dushanbe, Rudaki Ave. 139
Sh. A. Karimov
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Department of General Surgery №1
734032, Dushanbe, Rudaki Ave. 139
D. D. Davlatov
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Department of General Surgery №1
734032, Dushanbe, Rudaki Ave. 139
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Review
For citations:
Mukhabbatov D.K., Nozimov F.Kh., Karimov Sh.A., Davlatov D.D. PREDICTION OF ANAL SPHINCTER PECTENOSIS IN COMPLEX FORMS OF PARAPROCTITIS. Health care of Tajikistan. 2020;(3):35-42. (In Russ.)
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