master's thesis
Treatment of anal fistulas

Snježana Dragičević (2016)
Sveučilište u Zagrebu
Medicinski fakultet
KATEDRA ZA KIRURGIJU
Metadata
TitleTretman analnih fistula
AuthorSnježana Dragičević
Mentor(s)Leonardo Patrlj (thesis advisor)
Abstract
Cilj ovog preglednog rada je prikazati najčešće probleme i vrste oboljenja u području završnog crijeva, načine dijagnosticiranja, modalitete liječenja, prevenciju problema i spriječavanje nastanka oboljenja u predjelu završnog debelog crijeva. Fistulom nazivamo abnormalnu povezanost između dvije epitelom prekrivene strukture, dva organa ili dvije površine tkiva. Analna fistula je velik problem s kojim su se liječnici susretali još od vremena Hipokrata, te je do danas ostala izazov. Analna fistula (Fistula ani) je kronično stanje koje nastaje u 99% slučajeva nakon analnog apscesa. Nakon incizije abscesa i evakuacije sadržaja stvara se kanal, koji se proteže od otvora u koži gdje je izvedena incizija do unutrašnjeg otvora izvodnog kanala periproktalnih žlijezda, koji se nalazi na mjestu analne kripte. Vodeći simptom koji nalazimo kod analnih fistula je curenje žutog, zamućenog sadržaja na stražnji otvor u koži oko anusa. Ponekad se javljaju mukli bolovi, koji su najčešće posljedica začepljenja fistuloznog kanala. Različitim tretmanima liječenja pokušalo se postići što bolji rezultat. Poznati engleski proktolog Parks uveo je novu metodu (Fistulotomia), kojom su recidivi smanjeni na minimum. Statistički gledano, s problemima u predjelu završnog debelog crijeva, suočava se 3/4 odrasle populacije. S obzirom na veliku incidenciju oboljenja kod odrasle populacije nužno je ukazati na važnost pravovremene dijagnoze i odgovarajućeg tretmana analnih fistula. Osnovne postavke idealnog tretmana su: kontrola sepse, zatvaranje fistule i održavanje kontinencije. Takvim pristupom smanjujemo bolesnicima pojavu recidiva i poboljšavamo kvalitetu života.
Keywordsanal fistula fistulotomy maintenance of continency life quality
Parallel title (English)Treatment of anal fistulas
Committee MembersŽarko Rašić (committee chairperson)
Tomislav Meštrović (committee member)
Leonardo Patrlj (committee member)
GranterSveučilište u Zagrebu
Medicinski fakultet
Lower level organizational unitsKATEDRA ZA KIRURGIJU
PlaceZagreb
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Study programme typeuniversity
Study levelgraduate
Study programmeStudies in Nursing
Academic title abbreviationmag. med. techn.
Genremaster's thesis
Language Croatian
Defense date2016-06-30
Parallel abstract (English)
Goal of this paperwork is to present the most common diseases in area of large bowel, ways to diagnose it, modality of treatment, prevention of the problem and prevention of illness in area of large bowel. Fistula is an abnormal connection between two organs or between two surfaces of skin. Anal fistula is a major issue doctors have been encountering since times of Hippocrates, and it's remained a challenge until this day. Anal fistula ( fistula ani) is a chronical disease which, in 99% of the cases appears subsequent to anal abscess. After the incision of an abscess and the drainage of content, canal placed at the spot of anal crypt is formed and it's stretching from spot of incision to inner opening of excretory canal of perirectal glands. Leading symptom of anal fistula is leakage of yellow, impure discharge into the rear opening in the skin around anus. Sometimes there is a presence of dull pain which is often a result of fistula canal being clogged. With different ways of treatment it was attempted to achieve as good results as possible. Well known British proctologist, Parks established a new method (fistulotomy) by which recidives are reduced to minimum. Statistically observed, three quarters of adult population experiences problems in the area of large bowel. Therefore, it is necessary to point out to the importance of early diagnosis and adequate treatment of anal fistulas. Basic settings of ideal treatment are: sepsis control, closure of fistula and maintenance of continency. With this approach, possibility of recidive is reduced and quality of life is improved.
Parallel keywords (Croatian)analna fistula fistulotomia održavanje kontinencije kvaliteta života
Resource typetext
Access conditionOpen access
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:105:388926
CommitterLovela Machala Poplašen