DEVICE FOR IMPLEMENTING A METHOD FOR TREATING CHRONIC PARAPROCTITIS COMPLICATED BY THE FORMATION OF TRANSSPHINCTER OR EXTRASPHINCTER FISTULAS OF THE RECTUM

摘要

FIELD: medicine. ;SUBSTANCE: invention relates to medicine, namely to coloproctology, and can be used to optimize the treatment of patients with chronic paraproctitis complicated by the formation of an intrasphincter, transsphincter or extrasphincter fistula of the rectum, in the non-hospital setting. The device for the treatment of chronic paraproctitis complicated by the formation of transsphincter or extrasphincter fistulas of the rectum consists of a handle and a working part. The handle of the device is made of a hard, inflexible metal in the form of a hexagon with a rough surface that prevents sliding when working with the tool. The working part of the device is made with the possibility of modeling its shape by bending in accordance with the topographic and anatomical course of the fistula canal. The working part is made of flexible metal in the form of a round guide rod with a diameter of 2.0 mm, at the end of which there is an extension in the form of an oblong loop with a size of 3.0×0.3 mm with a hole in the center with a diameter of 2.0 mm for threading a latex or vicryl seton 2.0. The distal part of the loop is completed with an oblong elastic olive, due to which the guide rod is freely moved along with the seton along the fistula canal. ;EFFECT: provides a reduction in pain syndrome by optimizing the passage of seton through the fistula canal with minimizing tissue injury and reducing the number of necessary puffs, the possibility of performing manipulation in the non-hospital setting using local anesthesia, reducing the healing time of the wound by effectively draining the purulent cavity and creating favorable conditions for wound regeneration after ligature eruption and excision of the fistula, reducing the frequency of relapses. ;1 cl, 1 dwg