METHOD FOR SURGICAL TREATMENT OF TRANSSPHINCTER AND EXTRASPHINCTER FISTULAS OF RECTUM

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to colorectal surgery. Scraping of the fistula passage is carried out with a ruff-like probe-conductor. Threads from the copolymer of L-lactide with ε-caprolactone “APTOS” with notches are introduced into the fistula course. The threads are fixed with nodular sutures to the fibers of the sphincter and pararectal tissue and additionally along the course of the fistula in a perpendicular direction using an injection needle-cannula to a depth of 1.0 cm under visual control. ;EFFECT: method makes it possible to reduce the frequency of postoperative complications, improve functional results, as well as reduce the likelihood of a relapse of the disease, reduce the duration of treatment and disability of patients by preserving the integrity of the sphincter fibers. ;1 cl, 4 dwg