grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2019-178-2-79-84grekov-1077Research ArticleОБЗОРЫREVIEWSЛигатурный способ лечения свищей прямой кишки: современный взгляд на старейший метод (обзор литературы)Ligature method for the treatment of anal fistula: a modern view on the old approach (literature review)МусинА. И.MusinA. I.

Мусин Алексей Ильдарович, канд. мед. наук, ассистент кафедры госпитальной хирургии.

Автор для связи: Алексей Ильдарович Мусин, ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н. И. Пирогова» МЗ РФ, 117997, Россия, Москва, ул. Островитянова, д. 1.

Alexey I. Musin.

Corresponding author: Alexey I. Musin, Pirogov Russian National Research Medical University, 1 Ostrovityanova street, Moscow, Russia, 117997.

doctormusin@gmail.comАнтиповаЕ. В.AntipovaE. V.

Антипова Елена Вячеславовна, канд. мед. наук, зав. консультативно-диагностическим отделением.

127015, Россия, Москва ул. Писцовая д. 10.

Elena V. Antipova.

Moscow.

УльяновА. А.UlyanovA. A.

Ульянов Александр Анатольевич, канд. мед. наук, зав. отделением колопроктологии.

125319, Россия, Москва, ул. 1-я Аэропортовская, д. 5.

Alexander A. Ulyanov.

Moscow.

alexu@inbox.ruКузнецовД. Э.KuznetsovD. E.

Кузнецов Дмитрий Эдуардович, врач-колопроктолог отделения гнойной хирургии.

170036, Россия, г. Тверь, ул. Петербургское шоссе, д. 105.

Dmitrii E. Kuznetsov.

Tver.

kdae@mail.ruФГБОУ ВО РНИМУ им. Н.И. Пирогова Федеральное государственное бюджетное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н. И. Пирогова» Министерства здравоохранения Российской Федерации; Государственное бюджетное учреждение здравоохранения «Городская клиническая больница №24» Департамента здравоохранения Москвы.РоссияPirogov Russian National Research Medical University; Moscow City Clinical Hospital №24.Russian FederationГосударственное бюджетное учреждение здравоохранения «Городская клиническая больница №24» Департамента здравоохранения Москвы.Russian FederationMoscow City Clinical Hospital №24.Russian FederationЗАО «Центральная поликлиника Литфонда».Russian FederationCentral Polyclinic Litfonda.Russian FederationГосударственное бюджетное учреждение здравоохранения Тверской области «Областная клиническая больница».Russian FederationTver Regional Clinical Hospital.Russian Federation20192804201917827984Copyright © Мусин А.И., Антипова Е.В., Ульянов А.А., Кузнецов Д.Э., 20192019Мусин А.И., Антипова Е.В., Ульянов А.А., Кузнецов Д.Э.Musin A.I., Antipova E.V., Ulyanov A.A., Kuznetsov D.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/1077

Несмотря на тысячелетнюю историю лечения свищей прямой кишки, отдаленные результаты до сих пор не оптимальны, что заставляет искать новые варианты коррекции. Одним из методов хирургического лечения анальных фистул является использование лигатуры («сетон») в разных ее модификациях. В данном обзоре проведен анализ литературных данных по использованию различных вариантов лечения свищей прямой кишки при помощи «сетон». Анализ публикаций показал высокий интерес к использованию метода, однако отсутствует четкая схема и системный подход к использованию метода в клинической практике. Необходимо дальнейшее изучение проблемы и проведение рандомизированных исследований, что поможет подобрать оптимальный вариант лечения и улучшить результаты операций по поводу свищей прямой кишки.

Despite a thousand-year history of anal fistula treatment, long-term outcomes have not been optimal, which encourages us to explore new surgical approaches. One of the methods of surgical treatment of anal fistulas is the use of ligature (Seton) in its different modifications. This review analyzes the literature data on the use of different modifications of seton treatment of anal fistulas. The analysis of publications showed the great interest in the use of the method, yet there is neither clear scheme nor systematic approach to applying it in clinical practice. Further study, as well as randomized researches, are required to find the optimal treatment and improve surgery results of using seton when dealing with anal fistula.

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The authors declare that there are no conflicts of interest present.