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[Surgical procedure in combined proctologic diseases].

In 301 (23%) out of 1264 surgical cases with various pathologies of the rectum, pararectal and sacrococcygeal regions some combined diseases were observed. Such combinations as chronic paraproctitis (rectal fistulae) with hemorrhoids and with anal fissure are the most common ones. 176 one-stage operations and 63 double-stage operations were carried out. The average period of hospitalization was 16 days after one-stage operation and 24 days after double-stage operation. The authors believe that timely diagnosing of combined pathology allows to prevent the development of possible complications and to choose the most helpful surgical tactics in every specific case.

Fissure in Ano↗

[Subcutaneous lateral sphincterotomy in proctology (author's transl)].

In piles, anal fissure sclerosis and primary achalasia the internal anal sphincter muscle is the focus of a vicious circle. By subcutaneous internal sphincterotomy, a causal measure, this circle can be broken through without the danger of incontinence. This could be demonstrated by rectal pressure readings. The early results are satisfactory.

Anal Canal↗