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Khirurgii

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Year 2020 Vol. 28 No 5

LECTURES, REVIEWS

I.A. KRYVORUCHKO, T.M. FIRSYK

MODERN MINIMALLY INVASIVE SPHINCTER-SPARING TECHNIQUES OF SURGICAL TREATMENT OF ANAL FISTULAS

Kharkov National Medical University of the Ministry of Health of Ukraine, Kharkov,
Ukraine

Many surgical treatment techniques of anal fistulas are not effective enough, since many of them negatively affect the quality of life of operated patients due to the development of partial or complete disorders including functional urinary and fecal incontinence and accompanied by a significant percentage of recurrent fistulas. Therefore usually requires a repeat operation. There are a number of publications and recommendations for the treatment of rectal fistulas, but many of them are controversial, making practical treatment decisions extremely difficult. Trying to achieve three main aims of treatment (closing the fistula, preserving the sphincter function and minimizing the healing time), various minimally invasive methods of preserving the sphincter have been proposed over the past decades: such as endorectal flap advancement, intrafistular injection of fibrin glue, or the insertion of hermetic swabs, injection of autologous stem cells in the fistulous tract, ligation of the intersphincteric fistula tract (LIFT), video-assisted anal fistula treatment and other techniques. Despite such a large arsenal of the proposed minimally invasive technologies in the treatment of anal fistulas, many unclear questions still remain concerning adapting the existing surgical options to more complex clinical cases.

Keywords: anal fistulas, minimally invasive methods of treatment, recommendations, advantages, disadvantages
p. 565-576 of the original issue
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Address for correspondence:
61022, Ukraine, Kharkov,
Nauki av., 4
Kharkov National Medical University
of the Ministry of Health of Ukraine,
the Surgery Department No2,
tel.: +38-050-301-90-90,
e-mail:ikryvoruchko60@gmail.com
Kryvoruchko Igor A.
Information about the authors:
Kryvoruchko IgorA., MD, Professor, Head of the Surgery Department No2, Kharkov National Medical University of the Ministry of Health of Ukraine, Kharkov, Ukraine.
https://orcid.org/0000-0002-5525-701Õ
Firsyk Tetiana M., Post-Graduate Student of the Surgery Departmet No2, Kharkov National Medical University of the Ministry of Health of Ukraine, Kharkov, Ukraine.
https://orcid.org/0000-0001-6823-7416
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