title: [Results of one-stage reconstruction of anal sphincter in surgical treatment of fistulas-in-ano combined with fecal incontinence].
abstract: The investigation included 20 patients. Mean index of the severity of incontinence before operation by the Wexner scale was 9.3+/-2.4 scores. After radical dissection of the fistula and sphincter plasty in 7 patients (the first group) the wound of the rectum mucosa was sutured in longitudinal direction, in 13 patients (the second group) the rectum wall graft was brought down to the edge of the created anal canal. Uncomplicated post-operative period was noted in 15 (75%) patients. Suppuration of the wound developed in 3 (42.9%) patients of the first group and in 2 (15.3%) patients of the second group. The index of incontinence severity decreased to 2.4+/-1.1% scores (reduction of 4.5 scores in the first group and 7.7 scores in the second group).
authors.forename: V I
authors.initials: VI
authors.lastname: Pomazkin
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D019072:Antibiotic Prophylaxis; D002443:Ceftriaxone / Q000627:therapeutic use*; D005242:Fecal Incontinence / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008365:Manometry; D008795:Metronidazole / Q000627:therapeutic use*; D008875:Middle Aged; D019990:Perioperative Care; D011351:Proctoscopy / Q000379:methods*; D020127:Recovery of Function; D012003:Rectal Fistula / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D012008:Recurrence; D012720:Severity of Illness Index; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000628:therapy; D019738:Surgically-Created Structures; D016896:Treatment Outcome
chemical_list: D008795:Metronidazole; D002443:Ceftriaxone