دورية أكاديمية
The results of sphincterometry in patients after sorgion treatment of extrasphintery anal fistula
| العنوان: | The results of sphincterometry in patients after sorgion treatment of extrasphintery anal fistula |
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| المؤلفون: | R. Paliyenko, Z. Mishura |
| المصدر: | Journal of Education, Health and Sport, Vol 11, Iss 10 (2021) |
| بيانات النشر: | Kazimierz Wielki University |
| سنة النشر: | 2021 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Proctology, Rectal Fistula, Sphincterometry, Surgical treatment, Incontinence, Education, Sports, GV557-1198.995, Medicine |
| الوصف: | More than 30% of patients with chronic paraproctitis have complex forms. They are most often complicated by external sphincter insufficiency due to deformation of the anal canal and scarring of the sphincters. The main principle of substantiation of surgical treatment of extrasphincteric pararectal fistulas is the individual choice of method in each particular patient. It is based on a comprehensive assessment of such factors as the etiology of the fistula, its distance from the edge of the anus, the relationship of the defect or fistula with the sphincter muscles apparatus, the severity of the scarring process, the functional state of the rectum. Aim. Evaluation of the functional state of the sphincter apparatus of the rectum in patients with extrasphincteric pararectal fistulas in the preoperative, early and late postoperative periods. Materials and methods. To determine the average indicators of anal sphincter function, basal tone and maximal compression force were measured using a sphincterometer "Sphinctometer STM-0164-SM" in 114 healthy individuals (68 men and 46 women) of different ages (16 to 80 years) who objectively had no signs of anal incontinence. In all patients, sphincterometry was preceded by a thorough proctological examination, and proctological pathology was excluded. Therefore, hemorrhoids or anal fissures, which lead to increased basal tone at rest, were excluded so as not to lead to falsified values. Results. Indicators of the maximum compression force in the early postoperative period, ie the compression force of the external anal sphincter, in both groups were significantly lower than preoperative and ranged from 55 to 154 mm Hg, respectively. and from 63 to 137 mm Hg. This can be explained by the presence of a granulating wound in the pararectal tissue, edema and partial injury of the external anal sphincter during surgery. In the late postoperative period, 6-12 months after surgery, the indicators of basal tone in both groups approached the preoperative indicators. In the main group, ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English Spanish; Castilian Polish Russian Ukrainian |
| تدمد: | 2391-8306 |
| العلاقة: | https://apcz.umk.pl/JEHS/article/view/36199Test; https://doaj.org/toc/2391-8306Test; https://doaj.org/article/aa55b6f755ea49a8a4f591c27af63744Test |
| DOI: | 10.12775/JEHS.2021.11.10.029 |
| الإتاحة: | https://doi.org/10.12775/JEHS.2021.11.10.029Test https://doaj.org/article/aa55b6f755ea49a8a4f591c27af63744Test |
| رقم الانضمام: | edsbas.29BB2405 |
| قاعدة البيانات: | BASE |
| تدمد: | 23918306 |
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| DOI: | 10.12775/JEHS.2021.11.10.029 |