A Successful Case of Using a New Method of Surgical Treatment of Patients with Transsphincteric Pararectal Fistulas

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INTRODUCTION: Surgical treatment of high transsphincteric and extrasphincteric pararectal fistulas (PFs) is one of the unsolved problems of modern coloproctological practice. Currently, there is no uniform approach in treatment of these kinds of PFs.

AIM: To present a clinical case of successful application of the developed method of treatment of high transsphincteric PFs using resorbable АПТОС® threads with notches and antibacterial coating.

The paper presents a case of application of the developed method for the treatment of high transsphincteric PFs using resorbable АПТОС® threads with notches and antibacterial coating in a patient admitted to a surgical department on a planned basis with complaints of the presence of a skin defect in the perianal area with permanent purulent discharge, periodic elevation of body temperature to 37.5°С–38.0°С accompanied by pain in the anus area. Detailed description of surgical intervention method is given. Within the first 3 days after the surgical intervention, low-grade body temperature persisted (37.3°С–37.5°С). The pain syndrome was most pronounced throughout the first postoperative day, in the following days analgesics were not required. On the 7th day, the patient was discharged in satisfactory condition under supervision of a surgeon at the local clinic. On the control examinations at 1 and 6 months, no data on recurrence, anal incontinence were obtained.

CONCLUSION: The presented clinical case demonstrates reasonability and effectiveness of the method developed by authors for surgical treatment of high transsphincteric PFs with use of resorbable АПТОС® threads with notches and antibacterial coating.

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作者简介

Oleg Lisin

Samara State Medical University

编辑信件的主要联系方式.
Email: o.e.lisin@samsmu.ru
ORCID iD: 0000-0003-0502-3562
SPIN 代码: 7088-0446
俄罗斯联邦, Samara

Galina Yarovenko

Samara State Medical University

Email: yarovenko_galina@mail.ru
ORCID iD: 0000-0002-5043-7193
SPIN 代码: 6154-6168

MD, Dr. Sci. (Med.), Associate Professor

俄罗斯联邦, Samara

Sergey Katorkin

Samara State Medical University

Email: katorkinse@mail.ru
ORCID iD: 0000-0002-7524-6182
SPIN 代码: 7259-3894

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Samara

Evgeny Shestakov

Samara State Medical University

Email: e.v.shestakov@samsmu.ru
ORCID iD: 0000-0003-2941-6141
SPIN 代码: 8152-6991
俄罗斯联邦, Samara

Avetik Arustamyan

Samara State Medical University

Email: avo.arustamyan@mail.ru
ORCID iD: 0000-0003-4377-4762
SPIN 代码: 4070-1750
俄罗斯联邦, Samara

Vasilisa Kuper

Samara State Medical University

Email: vkuper@list.ru
ORCID iD: 0009-0006-8143-651X
SPIN 代码: 1818-1150
俄罗斯联邦, Samara

参考

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