ПБиМ 2023 №4 (146)


Subject of the article

REVIEW OF THE SURGICAL TREATMENT OF COMBINED NON-TUMOR PATHOLOGY OF THE RECTUM AND ANAL CANAL (326-332)

Authors

Sherkulov Kodir Usmonkulovich1, Davlatov Salim Sulaymonovich2

Institution

1 - Samarkand State Medical University, Republic of Uzbekistan, Samarkand; 2 - Bukhara State Medical Institute, Republic of Uzbekistan, Bukhara

Abstract

. In recent years, there has been a tendency in industrialized countries to an increase in combined diseases of the anal canal and rectum, requiring surgical treatment. Patients with hemorrhoids, acute paraproctitis, chronic fissure of the anal canal, rectal fistulas, polyps of the anal canal and rectum account for 19-42% in the structure of coloproctological morbidity. An analysis of the literature indicates the expediency of performing combined operations. To date, indica-tions and contraindications for performing one-stage operations for non-tumor pathology of the anal canal and rectum have not been sufficiently developed. There is no optimal treatment algorithm for combined proctologic pathology. Some operations need to be modified to improve the effectiveness of treatment. All this formed the basis for this study.

Key words

combined non-tumor pathology, anal canal, rectum, rectal fistulas.

Literature

1. Balytskyi V. V., Zakharash M. P., Kurik O. H. Efficacy assessment of the radio-wave surgery and the high-frequency electrosurgery in the treatment of patients with the combined anal canal and rectum pathology //Мир медицины и биологии. – 2019. – Т. 15. – №. 4 (70). – С. 7-11. 2. Nucci D. J. et al. Complications and outcomes following rectal pull-through surgery in dogs with rectal masses: 74 cases (2000–2013) //Journal of the American Veterinary Medical Association. – 2014. – Т. 245. – №. 6. – С. 684-695. 3. Loughrey M. B. et al. Dataset for pathology reporting of colorectal cancer: recommendations from the International Collaboration on Cancer Reporting (ICCR) //Annals of surgery. – 2022. – Т. 275. – №. 3. – С. e549. 4. Balytskyi V. V., Zakharash M. P., Kurik O. H. Efficacy assessment of the radio-wave surgery and the high-frequency electrosurgery in the treatment of patients with the combined anal canal and rectum pathology //Мир медицины и биологии. – 2019. – Т. 15. – №. 4 (70). – С. 7-11. 5. Nucci D. J. et al. Complications and outcomes following rectal pull-through surgery in dogs with rectal masses: 74 cases (2000–2013) //Journal of the American Veterinary Medical Association. – 2014. – Т. 245. – №. 6. – С. 684-695. 6. Loughrey M. B. et al. Dataset for pathology reporting of colorectal cancer: recommendations from the International Collaboration on Cancer Reporting (ICCR) //Annals of surgery. – 2022. – Т. 275. – №. 3. – С. e549. 7. Futami K. et al. Colorectal Cancer with Various Features: 15 Cases //Atlas of Inflammatory Bowel Disease-Associated Intestinal Cancer: Examining the Macroscopic Images of Small and Large Intes-tine. – Singapore : Springer Nature Singapore, 2022. – С. 99-133. 8. Moiseenko A. et al. 271. Potential prognostic markers and the possibility of combined treatment in patients with metastatic colorectal cancer //European Journal of Surgical Oncology. – 2014. – Т. 40. – №. 11. – С. S108-S109. 9. Borota A. V. et al. Sravnitel'nіj analiz hirur-gicheskogo lechenija sochetannoj neopuholevoj patologii anal'nogo kanala i prjamoj kishki [Com-parative analysis of surgical treatment of com-bined non-tumor pathology of the anal canal and rectum] //Neoplasm. – 2018. – Т. 10. – №. 1. – С. 18-21. 10. Liu Y. et al. Risk factors of colorectal can-cer and its clinical epidemiological study //Biomed Res. – 2017. – Т. 28. – С. 9871-9874. 11. Song P. et al. Second Malignant Tumors and Non-Tumor Causes of Death for Patients With Penile Cancer During Their Survivorship //Cancer Control. – 2022. – Т. 29. – С. 10732748221134789. 12. Wang X., Liu Z., Hu H. Perioperative Preparation of NOSES for Colorectal Cancer //Natural Orifice Specimen Extraction Surgery: Colorectal Cancer. – 2018. – С. 11-17. 13. Vuitton L. et al. Human papillomaviruses in colorectal cancers: A case-control study in western patients //Digestive and Liver Disease. – 2017. – Т. 49. – №. 4. – С. 446-450. 14. Hidalgo L. H. et al. 3.0 T MRI with a high resolution protocol for the study of benign disease of the anus and rectum. Part 2: Anorectal inflam-matory disease. Postsurgical anatomy and compli-cations after treatment //Radiología (English Edi-tion). – 2014. – Т. 56. – №. 3. – С. 206-218. 15. Balytskyy V. V., Zakharash M. P., Kuryk O. G. Modern methods of surgical treatment of anal canal and rectum combined pathology //Klinicheskaia khirurgiia. – 2021. – Т. 88. – №. 1-2. – С. 14-18. 16. Balytskyy V. V., Kuryk O. G., Zakharash M. P. Clinical and morphological assessment of the effectiveness of using the radiowave surgery device «Surgitron» and high–frequency electro-surgical device «kls martin» for treatment of pa-tients with combined pathology of anal canal and rectum //Клінічна та профілактична медицина. – 2019. – Т. 1. – №. 7. – С. 25-32. 17. Sherkulov K. U., Radjabov J. P., Usmonk-ulov M. K. Diagnostics and surgical treatment of rectal fistulas //World Bulletin of Public Health. – 2023. – Т. 19. – С. 28-30. 18. Balytskyy V. V. Pain syndrome in patients after combined operations for combined anorectal diseases using modern surgical technologies //Wiadomosci Lekarskie (Warsaw, Poland: 1960). – 2022. – Т. 75. – №. 9 pt 2. – С. 2238-2243. 19. Manne U. et al. Development and progres-sion of colorectal neoplasia //Cancer Biomarkers. – 2011. – Т. 9. – №. 1-6. – С. 235-265.