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Vopr Kurortol Fizioter Lech Fiz Kult



[Modern approaches to the rehabilitation of patients with chronic paraproctitis in the early postoperative period].


Kotenko KV, Kovalev SA, Bedzhanyan AL, Mikhailova AA, Korchazhkina NB
Vopr Kurortol Fizioter Lech Fiz Kult. 2022; 99(2):53-58.
PMID: 35485661.


Along with the classical methods of surgical treatment of rectal fistulas, new minimally invasive technologies have appeared using video endoscopic support for processing the fistulous tract and closing the internal fistula opening, intrasphincter ligation of the fistulous tract LIFT, however, they do not exclude relapses in the late postoperative period. The FiLaC (Fistula Laser Closure) laser technology based on the use of a radial flexible laser light guide, which does not cause damage to the anal canal mucosa, pain in the postoperative period, rectal postoperative bleeding and strictures, is quite promising in the further development of outpatient minimally invasive surgery for anal fistulas. anal canal. However, even with this technique, complications and relapses were observed in 10-12% of cases, which dictates the need to develop not only a patient-oriented approach to the surgical treatment of patients with chronic paraproctitis, but also to develop postoperative rehabilitation programs in the early postoperative period.