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Results of the surgical treatment of 556 patients with different diseases of the anorectal area with the help of CO2 laser are presented. Functional results were good, the amount of postoperative complications was 1.5 times less, recurrences were half less, the time of intrahospital treatment was 1.5 day shorter, the period of ambulatory rehabilitation 3.8 days shorter.
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The results of the use of sacral anesthesia prolongated with opiates in patients operated on for acute paraproctitis, acute thrombosis of the hemorrhoidal nodes and acute anal fissure are presented. The advantages of this method of anesthesia are the low rate of complications and long-term postoperative analgesia.
The methods for restoration and recreation of sphincter apparatus of the rectum in its congenital and acquired incompetence in children are presented. The techniques of the artificial internal anal sphincter creation, atypical sphincterolevatoroplasty and combined sphincteroplasty were developed. The results of treatment are presented.
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Analysing the results of 1,000 procto-sigmoidoscopies done in Bamako (Mali), the authors asses the major indications of this examination in Africa: rectal biopsy is quite efficient for the diagnosis of schistosomiasis; hemorroides and proctitis are frequent while tumors seem rare.
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