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Diagnosis and surgical treatment of postoperative anal stenosis

https://doi.org/10.52888/0514-2515-2024-360-1-39-46

Abstract

Aim. To improve the immediate and long-term results of surgical treatment of postoperative anal stenosis.

Materials and Methods. The study included 92 patients (46 main and 46 control) with postoperative anal stenosis, during 2012-2023. Among all patients, males predominated, accounting for 59 (64.1%) cases, and females - 33 (35.9%) cases in the study.

Results. A large proportion of patients (72.8%) developed anal stenosis in the long-term after surgical treatment of chronic haemorrhoids. Ultrasound and MRI scans were performed. For the surgical treatment of postoperative anal stenosis in patients in the control group, the traditional existing surgical tactics were followed; patients in the main group received developed and improved methods of surgical treatment. The number of recurrences of postoperative anal stenosis in patients in the main group after our surgical treatment tactics decreased in 10.9% of cases (from 17.4% to 6.5%).

Conclusions. The chosen surgical tactics and developed methods of surgical treatment of postoperative anal canal stenosis reduce the number of early postoperative complications in 13.1% of cases and late complications in 10.9% of cases.

About the Authors

J. K. Mukhabbatov
SI “Avicenna Tajik State Medical University”, Department of General Surgery No. 1 named after Professor A.N. Kakhkhorov
Tajikistan

Mukhabbatov Djienkhon Kurbonovich – Doctor of Medical Sciences, Associate Professor,

Dushanbe.



B. M. Khamroev
SI “Avicenna Tajik State Medical University”, Department of General Surgery No. 1 named after Professor A.N. Kakhkhorov
Tajikistan

Dushanbe.



M. B. Annaev
SI “Avicenna Tajik State Medical University”, Department of General Surgery No. 1 named after Professor A.N. Kakhkhorov
Tajikistan

Dushanbe.



J. J. Davlatov
SI “Avicenna Tajik State Medical University”, Department of General Surgery No. 1 named after Professor A.N. Kakhkhorov
Tajikistan

Dushanbe.



References

1. Blagodarnyy L.A. Profilatika posleoperatsionnogo obrazoviya striktur analnogo kanala posle gemorroidektomii [Prophylaxis of postoperative formation of anal canal strictures after hemorrhoidectomy]. Meditsinskiy vestnik severnogo kavkaza - Medical Bulletin of the North Caucasus, 2018, Vol. 13, No. 2, pp. 450-451.

2. Gobedzhishvili V.V. Profilaktika stenoza analnogo kanala posle gemorroidektomii [Prevention of anal canal stenosis after hemorrhoidectomy]. Materials of the ALL-Russian Youth Forum with international participation. Stavropol State Medical University [Materials of the All-Russian Youth Forum with International Participation. Stavropol State Medical University]. 2017. pp. 373-374.

3. Kakhorova R.A. Khirurgicheskie aspekty lecheniya posleoperatsionnykh suzheniy analnogo kanala [Surgical aspects of treatment of postoperative anal canal constrictions]. Vestnik poslediplomnogo obrazovaniya v sfere zdravookhraneniya - Bulletin of postgraduate education in healthcare, 2019, No. 1.

4. Lavreshin P.M. Stenoz analnogo kanala: obosnovanie prichin ego razvitiya [Anal canal stenosis: rationale for its development]. Koloproktologiya – Coloproctology, 2014, No. 1 (47), pp. 19-23.

5. Shawki S. Anal fissure and stenosis. Gastroenterological Clinic of North America, 2013, No. 42, pp. 729-58.


Review

For citations:


Mukhabbatov J.K., Khamroev B.M., Annaev M.B., Davlatov J.J. Diagnosis and surgical treatment of postoperative anal stenosis. Health care of Tajikistan. 2024;(1):39-46. (In Russ.) https://doi.org/10.52888/0514-2515-2024-360-1-39-46

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ISSN 0514-2415 (Print)