FIELD: medicine; surgery; coloproctology.
SUBSTANCE: through each external opening of all fistulous tracts, a visiport Plus RPF device manufactured by Covidien, USA is inserted, and the lumen of each fistulous tract is cut in the longitudinal direction under visual control. Then the ligature is passed through the external opening of the main fistula tract into its lumen until the ligature exits the internal opening of the fistula. After that, the ligature is tightened with the capture of a portion of the anal sphincter.
EFFECT: method allows to increase the efficiency of surgical treatment, to exclude anal incontinence and recurrence of the disease.
1 cl, 2 ex
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