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ЭПИТЕЛИЙ КОКЦИГЕАЛЬДЫ ФИСТУЛА ЖӘНЕ ОНЫ ХИРУРГИЯЛЫҚ ЕМДЕУ Шакеров А. А., Асанов Ж. А., Бахтаров А. А., Мұратұлы Н., Бесембаев А. Қ., Арынтаев М. Қ. Ғылыми кеңесшілер: Аймағамбетов М.Ж. СМУ, Семей қ, Қазақстан Республикасы ЭПИТЕЛИАЛЬНЫЙ КОПЧИКОВЫЙ СВИЩ И ЕГО ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ Шакеров А. А., Асанов Ж. А., Бахтаров А. А., Муратулы. Н., Бесембаев А. К., Аринтаев М. К. Научный консультант: Аймагамбетов М. Ж. НАО МУС, г. Семей, Республика Казахстан EPITHELIAL COCCYGEAL FISTULA ANDIT’S SURGICAL TREATMENT Shakerov A. A., Asanov Zh. A., Bakhtarov A. A., Muratuly N., Besembaev A. K., Arintaev M. K. Scientific consultant: Aimagambetov M. Zh. NAO MUS, Semey, Republic of Kazakhstan Relevance of the topic: Epithelial coccygeal passage — defect in the development of the skin of the intergluteal area, conditioned incomplete reduction of the atavistic muscle of the former tail and representing a narrow tube with epithelial lining of the walls, blindly ending in subcutaneous tissue. Epithelial coccygeal passage is a widespread proctological disease, occurring in 3-5% of the 196 able-bodied population, mainly in young people with a male predominance by 2-4 times [V.L. Denisenko, and etc.,2019]. In the vast majority of cases, its first manifestation is the occurrence of suppuration of the epithelial coccygeal passage, followed by the formation of fistulas. Although this disease is benign in nature and very rarely leads to serious complications, it causes a significant decrease in the quality of life of the patient and affects all areas of his life [A.A. Kartashev, and etc., 2016]. The only way to radically treat this disease is surgical. Currently, the improvement of radical surgical treatment of epithelial coccygeal passages and cysts is one of the urgent problems of surgery and, in particular, coloproctology. This caused by not only to the extremely high prevalence of this pathology, игре also to the unstable results of surgical treatment. Despite the development of medical technologies and tools in recent years, the percentage of relapses and suppurative complications after operations for epithelial coccygeal passages and cysts remains stable, with no tendency to a significant decrease. The leading reason for this, according to a number of authors, is the lack of universal diagnostic and treatment algorithms to date, which allowed optimizing the choice of a treatment method proceed on objective criteria. [V.L. Rivkin and etc., 2012]. Suturing the wound longitudinally tightly with nodular sutures by Donati with significant wound defects has a high risk of tension of the wound edges, eruption of sutures at the bottom of the wound and the formation of residual cavities. Also, a blind seam is safe only with uncomplicated passages. If there have been episodes of acute inflammation and suppuration in the anamnesis, the imposition of a blind suture should be approached with caution. In that way, the problem of correcting the results of surgical treatment of epithelial coccygeal passages and cysts is relevant and requires new approaches and solutions. жүктеу/скачать 4,77 Mb. Достарыңызбен бөлісу:
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