EVALUATION OF THE EFFECTIVENESS TRANSLOCATIONAL PROCTOPLASTY IN CHRONIC PARAPROCTITIS

After surgical treatment of chronic extrasphincteric fistulas 5-30% develop recurrence in 15-80% - anal incontinence. To improve the results of a new method of surgical treatment - translocational proctoplasty comprising excision of fistulous and eliminate the internal opening by moving the mucosa of the anal canal. All participants are divided into two groups using a new method (basic, n=36) and a ligation method (control, n=45). Day bed in the main group 13,9±1,5 days in the control - 18,6±1,7 days (p <0,05). The results of postoperative sphincterometry in the main group - in the normal range, the control -Significant decreased tone and minimize. Recurrence of the disease in the study group was not in control -2 (4,4%) (p <0,05). The proposed method is more effective than the a ligation method.