Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press49410.17650/2686-9594-2021-11-1-35-41LITERATURE REVIEWОБЗОР ЛИТЕРАТУРЫEvolution of treatment for rectal fistula: from resection to FiLaC® laser ablationЭволюция лечения свищей прямой кишки: от резекционных методов к лазерной аблации FiLaC® AtroshchenkoA.  O.АтрощенкоА. О.
Russian Federation

Andrey Olegovich Atroshchenko 

6 Miklukho-Maklaya St., Moscow 117198

Build. 2, 2 Rublevskoe Predmestye, Glukhovo, Krasnogorsk 143421

Андрей Олегович Атрощенко  

117198 Москва, ул. Миклухо-Маклая, 6

143421 Красногорск, д. Глухово, ул. Рублевское предместье, 2, корп. 2

dr.atroshchenko@gmail.comKiselevD.   O.КиселевД. О.
Russian Federation

2 Salyama Adilya St., Moscow 123423

123423 Москва, ул. Саляма Адиля, 2

PozdnyakovS.   V.ПоздняковС. В.
Russian Federation

28 Orekhovyy Bulvar, Moscow 115682

115682 Москва, Ореховый бульвар, 28

TeterinA.   V.ТетеринА. В.
Russian Federation

27 Leninskiy Prospekt, Moscow 119071

119071 Москва, Ленинский проспект, 27

DavidovichD.   L.ДавидовичД. Л.
Russian Federation

Build. 1, 2 Kashtanovaya Alleya, Zelenograd, Moscow 124489

124489 Москва, Зеленоград, Каштановая аллея, 2, стр. 1

Department of Surgery and Oncology, Faculty of Postgraduate Medical Education, Peoples’ Friendship University of RussiaКафедра хирургии и онкологии факультета непрерывного медицинского образования ФГАОУ ВО «Российский университет дружбы народов»Department of Coloproctology, Ilyinskaya Hospitalотделение колопроктологии АО «Ильинская больница»Department of Ultrasound Diagnostics, A.N. Ryzhikh National Medical Research Center of Coloproctology, Ministry of Health of RussiaОтделение ультразвуковой диагностики ФГБУ «Национальный медицинский исследовательский центр колопроктологии им. А.Н. Рыжих» Минздрава РоссииDepartment of Coloproctology, Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical and Biological Agency of the Russian FederationОтделение колопроктологии ФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий Федерального медико-биологического агентства России»Center of Coloproctology, St. Aleksey Central Clinical HospitalЦентр колопроктологии АНО «Центральная клиническая больница Святителя Алексия»Department of Purulent Surgery and Coloproctology, M.P. Konchalovsky City Clinical Hospital, Moscow Healthcare DepartmentОтделение гнойной хирургии с колопроктологическими койками ГБУЗ «Городская клиническая больница им. М.П. Кончаловского Департамента здравоохранения г. Москвы»0206202111135410206202102062021Copyright ©; 2021,  Atroshchenko A. ., Kiselev D.O., Pozdnyakov S. ., Teterin A.V., Davidovich D. .Copyright ©; 2021, Атрощенко А.О., Киселев Д.О., Поздняков С.В., Тетерин А.В., Давидович Д.Л.2021 Atroshchenko A. ., Kiselev D.O., Pozdnyakov S. ., Teterin A.V., Davidovich D. .Атрощенко А.О., Киселев Д.О., Поздняков С.В., Тетерин А.В., Давидович Д.Л.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/494

Rectal fistula – one of the most common coloproctological diseases. Annually, thousands of patients with anal fistula have had treated around the world. Treatment of this disease is an actual problem in coloproctology nowadays due to the high frequency of recurrence and anal incontinency. The chronic persistent perianal suppuration and multiple surgical interventions the main predictor of emergence of the anal incontinence, which could be achieve almost 50 %, according the literature data. The risk of emergence the anal incontinence is particularly high in the treatment of complex fistulas. Therefore, the problem of complex rectal fistulas treating remains an actual task in the clinical practice of a coloproctologist.

Свищ прямой кишки – одно из самых распространенных колопроктологических заболеваний: ежегодно тысячи пациентов проходят лечение по всему миру. Актуальность выбора лечебной тактики связана с высокой частотой рецидивирования и развития анальной инконтиненции. По данным литературы, хроническое персистирующее течение гнойно‑воспалительного процесса наряду с неоднократными хирургическими вмешательствами являются основными предикторами возникновения анальной инконтиненции, частота которой достигает 50 %. Риск развития инконтиненции особенно высок при лечении сложных свищей, поэтому данная проблема остается актуальной задачей в клинической практике врача‑колопроктолога.

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