ПБиМ 2023 №4 (146)
Subject of the article
ОЦЕНКА ИНТЕНСИВНОСТИ И ПРОДОЛЖИТЕЛЬНОСТИ БОЛЕВОГО СИНДРОМА У БОЛЬНЫХ, ПЕРЕНЕСШИХ ПРОЦЕДУРУ FiLAC ПО ПОВОДУ КОРОТКИХ И СЛОЖНЫХ СВИЩЕЙ ПРЯМОЙ КИШКИ (176-178)
Authors
Шеховцов Станислав Александрович1, Давлатов Салим Сулаймонович2
Institution
1 - Ведущая многопрофильная клиника города Адду, Мальдивская Республика, г. Адду; 2 - Бухарский государственный медицинский институт, Республика Узбекистан, г. Бухара
Abstract
В статье представлены результаты оценки интенсив-ности и продолжительности болевого синдрома у больных, перенесших классическую и модифицирован-ную нами процедуру FiLAC при лечении коротких и сложных прямокишечных свищей. Показана потенци-альная безопасность применения разработанной нами модификации методики FiLAC.
Key words
короткие прямокишечные свищи, сложные прямоки-шечные свищи, лазерная облитерация прямокишечных свищей, методика FiLAC, интенсивность болевого синдрома, продолжительность болевого синдрома.
Literature
1. Dubois A, Carrier G, Pereira B et al (2015) Therapeutic management of complex anal fistulas by installing a nitinol closure clip: study protocol of a multicentric randomised controlled trial–FISCLOSE. BMJ Open 16:e009884 2. Giamundo P, Geraci M, Tibaldi L, Valente M (2013) Closure of fistula-in-ano with laser—FiLaC™: an effective novel sphincter-saving pro-cedure for complex disease. Colorectal Dis 16:110–115 3. Giamundo P, Esercizio L, Geraci M, Tibaldi L, Valente M (2015) Fistula-tract laser closure (FiLaC ™): long-term results and new operative strategies. Tech Coloproctol 19:449–453 4. Han JG, Wang ZJ, Zheng Y et al (2016) Liga-tion of Intersphincteric Fistula Tract vs Ligation of the Intersphincteric Fistula Tract plus a biopros-thetic anal fistula plug procedure in patients with transsphincteric anal fistula: early results of a mul-ticenter prospective randomized trial. Ann Surg 264:917–922 (PMID: 26606429) 5. Köckerling F, Alam NN, Narang SK, Daniels IR, Smart NJ (2015) Treatment of fistula-in-ano with fistula plug—a review under special consid-eration of the technique. Front Surg 16:55 6. Lunnis PJ, Sheffield JP, Talbot IC, Thomson JP, Phillips RK (1995) Persistence of idiopathic anal fistula may be related to epithelialisation. Br J Surg 82:32–33 7. Limura E, Giordano P (2015) Modern man-agement of anal fistula. World J Gastroenterol 21:12–20 8. Litza EM, van Wijk JJ, Gosselink MP, Doornebosch P, Zimmerman DDE, Schouten WR (2010) Seton drainage prior to transanal advance-ment flap repair: useful or not? Int J Colorectal Dis 25:1499–1502 9. Iukhvidova ZhM, Makeeva NS, Zinov’eva OI, Sidorova TA (1978) Use of lasers in the treatment of diseases of the anorectal region. Sov Med 2:86–90 10. Meinero P, Mori L, Gasloli G (2014) Vid-eo-assisted anal fistula treatment: a new concept of treating anal fistulas. Dis Colon Rectum 57:354–359 11. Meinero P, Mori L (2011) Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistu-las. Tech Coloproctol 15:417–422 12. Narang SK et al (2017) A systematic re-view of new treatments for cryptoglandular fistula in ano. Surgeon 15:30–39 13. Öztürk E, Gülcü B (2014) Laser ablation of fistula Tract: a sphincter-preserving method for treating fistula-in-ano. Dis Colon Rectum 57:360–364 14. Salim AS, Ahmed TM (2001) KTP-Laser and fibrin glue for treatment of fistulae in ano. Saudi Med J 22:1022–1024 15. Scoglio D, Walker AS, Fichera A (2014) Biomaterials in the treatment of anal fistula: hope or hype? Clin Colon Rect Surg 27:172–181 16. Slutzki S, Abramsohn R, Bogokowsky H (1981) Carbon dioxide laser in the treatment of high anal fistula. Am J Surg 141:395–396 17. Sygut A et al (2010) How the location of the internal opening of anal fistulas affect the treatment results of primary transsphincteric fistu-las. Langenbecks Arch Surg 395:1055–1060 18. Tasci I (2003) The fistulectome: a new de-vice for treatment of complex anal fistulas by “Core-Out” fistulectomy. Dis Colon Rectum 46:1566–1571 19. Wilhelm A (2011) A new technique for sphincter-preserving anal fistula repair using a novel radial emitting laser probe. Tech Coloproctol 15:445–449 20. Zirak-Schmidt S, Perdawood SK (2014) Management of anal fistula by ligation of the in-tersphincteric fistula tract—a systematic review. Dan Med J 61:A4977