How to Optimize Surgical Treatment of Chronic Anal Fissure Combined
Sys Rev Pharm 2020;11(11):171-176 A multHifaceotedwreviewtjournaOl in tphe ftielidmof phiarzmaecy Surgical Treatment of Chronic Anal Fissure Combined With Rectocele In Women BV.eFl.gKоruоlidkNоvastikоyn,aNl .RVe. sОelaeryсnhiUk,nAiv.Pe.rsKirtyiv, сRhuisksоiav,a3,0M80.S1.5A,lBeneligсhоerоvda,, PYоabroedsyh SAt..L,.85 ABSTRACT Anal fissure is a common condition in women of all ages. The most common Keywords: anal fissure, rectocele, surgical treatment, wound healing causes are childbirth and constipation. Anal fissure is often diagnosed in women with rectocele. Unsatisfactory results of surgical treatment of chronic anal fissures Correspondence: in patients with rectocele enforce to continue the investigations for the optimal V.F. Kulikоvsky solution of this problem. Belgоrоd Natiоnal Researсh University, Russia,308015, Belgоrоd, Pоbedy St., 85 The aim of research was to improve the results of surgical treatment of chronic anal fissures in patients with rectocele. Materials and Methods. In 2015-2019, on the basis of the Surgery Department of Belgоrоd Natiоnal Researсh University and Coloproctology Department of Belgorod St. Joasaph's Hospital, we conducted a comparative assessment of the results of surgical treatment of 74 patients with recocele and chronic anal fissure, who underwent isolated surgery of anal fissure excision (1st group, n=35) and anal fissure excision, combined with posterior colporrhaphy in the 2nd group (n=39). According to indications for spasm of the internal anal sphincter, in patients of both groups internal lateral sphincterotomy was performed. Results. Local pain syndrome in the anus area in the first day after the operation in all patients was intensive. Starting from the 2nd day, the pain in the area of the vaginal wound of the patients of the 2nd group almost did not bother them.
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