POST-TRAUMATIC ANAL SPHINCTER INSUFFICIENCY
https://doi.org/10.33878/2073-7556-2017-0-2-52-54
Abstract
AIM. To develop tactics of treatment for post-traumatic anal sphincter insufficiency in emergency surgery. MATERIALS AND METHODS. 472 patients with anal sphincter insufficiency were treated between 1977-2015. Of them 125 had conservative therapy. Surgical treatment was performed in 347 patients. Twenty-four patients had emergency procedure. RESULTS AND CONCLUSIONS. The success of the rehabilitation of these patients depends on the timely and adequate surgical care at the time of the sphincter injury. 3 degrees of perineum tears in labor should be sutured by experienced obstetricians and only in layers. Sphincteroplasty without colostomy is indicated within 24 hours after injury, while later admission ot hospital requires defunctioning stoma. Gunshot sphincter damage require wound debridement without sphincteroplasty and defunctioning stoma.
About the Authors
A. V. Muravyev
The federal state budget educational institution of higher education «Stavropol state medical university» of the ministry of health of the Russian Federation; The Stavropol Sity Hospital №2
Russian Federation
Russian Federation
V. I. Linchenko
The federal state budget educational institution of higher education «Stavropol state medical university» of the ministry of health of the Russian Federation; The Stavropol Sity Hospital №2
Russian Federation
Russian Federation
K. A. Muravyev
The federal state budget educational institution of higher education «Stavropol state medical university» of the ministry of health of the Russian Federation
Russian Federation
Russian Federation
P. I. Chumakov
The federal state budget educational institution of higher education «Stavropol state medical university» of the ministry of health of the Russian Federation
Russian Federation
Russian Federation
C. І. Petrosyans
The Stavropol Sity Hospital №2
Russian Federation
Russian Federation
D. B. Overchenko
The Stavropol Sity Hospital №2
Russian Federation
Russian Federation
A. S. Galstyan
The Stavropol Sity Hospital №2
Russian Federation
Russian Federation
A. V. Efimov
Tuapse multi-center
Russian Federation
Russian Federation
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Review
For citations:
Muravyev A.V., Linchenko V.I., Muravyev K.A., Chumakov P.I., Petrosyans C.І., Overchenko D.B., Galstyan A.S., Efimov A.V. POST-TRAUMATIC ANAL SPHINCTER INSUFFICIENCY. Koloproktologia. 2017;(2):52-54. (In Russ.) https://doi.org/10.33878/2073-7556-2017-0-2-52-54
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