The results of sphincterometry in patients after sorgion treatment of extrasphintery anal fistula

More than 30% of patients with chronic paraproctitis have complex forms. They are most often complicated by external sphincter insufficiency due to deformation the anal canal and scarring sphincters. The main principle substantiation surgical treatment extrasphincteric pararectal fistulas is individual choice method in each particular patient. It based on a comprehensive assessment such factors as etiology fistula, its distance from edge anus, relationship defect or fistula muscles apparatus, severity process, functional state rectum.
 Aim. Evaluation apparatus rectum preoperative, early late postoperative periods.
 Materials methods. To determine average indicators function, basal tone maximal compression force were measured using sphincterometer "Sphinctometer STM-0164-SM" 114 healthy individuals (68 men 46 women) different ages (16 80 years) who objectively had no signs incontinence. In all patients, sphincterometry was preceded thorough proctological examination, pathology excluded. Therefore, hemorrhoids fissures, which lead increased at rest, excluded so not falsified values.
 Results. Indicators maximum period, ie sphincter, both groups significantly lower preoperative ranged 55 154 mm Hg, respectively. 63 137 Hg. This can be explained presence granulating wound tissue, edema partial injury during surgery.
 6-12 months after surgery, approached indicators. group, study performed 22 patients. these internal did differ 20 37 control 32 before surgery - 17 28 There clinical manifestations incontinence rest either groups.
 period decrease revealed. group varied 71 186 77 135 respectively.
 Conclusion. Surgical reduces contractile function regardless surgery.