Email this article A Successful Case of Using a New Method of Surgical Treatment of Patients with Transsphincteric Pararectal Fistulas
- Authors: Lisin O.E.1, Yarovenko G.V.1, Katorkin S.E.1, Shestakov E.V.1, Arustamyan A.V.1, Kuper V.D.1
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Affiliations:
- Samara State Medical University
- Issue: Vol 32, No 3 (2024)
- Pages: 483-490
- Section: Clinical reports
- URL: https://journals.rcsi.science/pavlovj/article/view/265931
- DOI: https://doi.org/10.17816/PAVLOVJ168764
- ID: 265931
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Abstract
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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##article.viewOnOriginalSite##About the authors
Oleg E. Lisin
Samara State Medical University
Author for correspondence.
Email: o.e.lisin@samsmu.ru
ORCID iD: 0000-0003-0502-3562
SPIN-code: 7088-0446
Russian Federation, Samara
Galina V. Yarovenko
Samara State Medical University
Email: yarovenko_galina@mail.ru
ORCID iD: 0000-0002-5043-7193
SPIN-code: 6154-6168
MD, Dr. Sci. (Med.), Associate Professor
Russian Federation, SamaraSergey E. Katorkin
Samara State Medical University
Email: katorkinse@mail.ru
ORCID iD: 0000-0002-7524-6182
SPIN-code: 7259-3894
MD, Dr. Sci. (Med.), Professor
Russian Federation, SamaraEvgeny V. Shestakov
Samara State Medical University
Email: e.v.shestakov@samsmu.ru
ORCID iD: 0000-0003-2941-6141
SPIN-code: 8152-6991
Russian Federation, Samara
Avetik V. Arustamyan
Samara State Medical University
Email: avo.arustamyan@mail.ru
ORCID iD: 0000-0003-4377-4762
SPIN-code: 4070-1750
Russian Federation, Samara
Vasilisa D. Kuper
Samara State Medical University
Email: vkuper@list.ru
ORCID iD: 0009-0006-8143-651X
SPIN-code: 1818-1150
Russian Federation, Samara
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