References

grekov

Вестник хирургии имени И.И. Грекова

Grekov's Bulletin of Surgery

0042-46252686-7370

Federal 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 Russia

10.24884/0042-4625-2024-183-4-77-84

grekov-2414

Research Article

ОБЗОРЫ

REVIEWS

Современные тенденции и приоритеты в лечении хронической анальной трещины

Modern trends and priority in treatment of chronic anal fissure

https://orcid.org/0000-0002-3974-0781

Алиев

С. А.

Aliev

S. A.

Алиев Садай Агалар оглы, доктор медицинских наук, профессор кафедры хирургических болезней № 1

Баку, ул. Самеда Вургуна, д. 163A

Aliev Saday A., Dr. of Sci. (Med), Professor of the Department of Surgical Diseases № 1

163А, Sameda Vurguna str., Baku

adayaliyev1948@mail.ru

https://orcid.org/0000-0002-2848-7370

Алиев

Э. С.

Aliev

E. S.

Алиев Эмиль Садай оглы, кандидат медицинских наук, старший лаборант кафедры хирургических болезнейN№ 1

Баку, ул. Самеда Вургуна, д. 163A

Aliev Emil S., Cand. of Sci. (Med), Assistant of the Department of Surgical Diseases № 1

Азербайджанский медицинский университетАзербайджанAzerbaijan Medical UniversityAzerbaijan

2024

23072024

18347784

2024

Алиев С.А., Алиев Э.С.

Aliev S.A., Aliev E.S.

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/2414

В статье рассмотрены современное состояние проблемы и приоритеты в лечении хронической анальной трещины по данным литературы. Последовательно изложены стандартные медикаментозные, хирургические и другие методы лечения с оценкой их эффективности, преимуществ и недостатков. На основании анализа данных литературы показано, что иссечение трещины в сочетании с дозированной боковой подкожной сфинктеротомией по-прежнему остается «золотым стандартом» лечения хронической анальной трещины. С учетом пересмотра традиционно устоявшейся парадигмы и наметив шейся тенденции к мульти дисциплинарному подходу к проблеме обосновано использование комбинированных и малоинвазивных сфинктеросберегающих методов лечения. Описано применение ботулинотоксина, различных вариантов анопластики, чрескожной нейростимуляции, лазерной вапоризации и пневмобаллонной дилатации анального сфинктера. Представлены возможности использования аутологичной плазмы, обогащенной тромбоцитарными факторами роста и аутологичных клеток жирового происхождения, применяемых в качестве клеточной (тканевой) трансплантации.

The article discusses the current state of the problem and priorities in the treatment of chronic anal fissures according to literature data. We described consistently standard medical, surgical and other treatment methods with an assessment of their advantages and disadvantages. Based on the analysis of literature data, it is shown that fissure excision in combination with dosed form of subcutaneous sphincterotomy still remains the «gold standard» for the treatment of chronic anal fissure. Taking into account the revision of the traditionally established paradigm and the emerging trends towards a multidisciplinary approach to the problem, the use of combined and minimally invasive sphincter-sparing treatment methods is justified. The use of botulinum toxin, various options for anoplasty, transcutaneous neurostimulation, laser vaporization and pneumoballoon dilatation of the anal sphincter are described. The possibilities of using autologous plasma enriched with platelet growth factors and autologous cells of adipose origin used as cell (tissue) transplantation are presented.

хроническая анальная трещинамедикаментозная терапияхирургическое лечениеиссечение трещиныбоковая подкожная сфинктеротомияботулинический токсинанопластикачрескожная нейростимуляциябаллонная дилатацияаутологичная плазмааутологичные клетки жирового происхождения

chronic anal fissuredrug therapysurgical treatmentfissure excisionlateral subcutaneous sphincterotomybotulinum toxinanoplastytranscutaneous neurostimulationballoon dilatationautologous plasmaautologous cells of adipose origin

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