Surgical Treatment Outcomes for Complex Rectal Fistulas

rectal fistulas, complex forms, surgical treatment, pararectal fistulas, complex anal fistula, surgical treatment, transsphincteric fistula, extrasphincteric fistula.

1Mukhtarov Ruslan Isamidinovich
Head of the Department of Surgery, Navoiy
City Central Hospital, Uzbekistan.
https://orcid.org/0009-0002-6319-954X
ruslanmuxtarov7777@gmail.com

2Khujabaev Safarboy Tukhtabaevich
Professor's duty officer of General Surgery
department. Samarkand State Medical
University, 140100 Samarkand, Uzbekistan
Orcid id: https:// orcid.org/0000-0002-78398202. safarboy26021976@gmail.com

3Dusiyarov Muhammad Muqumbayevich
Dotsent of General Surgery department.
Samarkand State Medical University, 140100
Samarkand, Uzbekistan Orcid id:
https://orcid.org/0000-0002-2079-3613
dusiyarov.muxammad1977@gmail.com

4Xodjiyeva Gulirano Sayfullaevna
Assistant of the Department of Propaedeutics of
Internal Diseases, Bukhara state medical
university named after Abu Ali ibn Sino,
Uzbekistan; gulirano075@gmail.com
https://orcid.org/0009-0006-7303-6911

Received:17-06-2026
Revised: 22-07-2026
Accepted: 29-07-2026

European Journal of Prosthodontics and Restorative Dentistry (2026) 34 (7s), 514–521

Surgical Treatment Outcomes for Complex Rectal Fistulas.

This study included 119 patients with high transsphincteric and extrasphincteric pararectal fistulas operated at the coloproctology department of the Samarkand State Medical University clinic. The application of a new surgical technique reduces the intensity of pain syndrome in patients at rest by 10% and after defecation by 20%, and decreases the rate of postoperative complications by 16.8% compared with the rectal mucosal advancement flap procedure in the early postoperative period. Furthermore, the new method reduces the rate of anal incontinence by 5.7% at 3 months and by 8.4% at 1 year postoperatively compared with the traditional method. Compared with the rectal mucosal advancement flap procedure, the new surgical technique decreases the recurrence rate by 10.3% at 1 year and by 12.4% at 3 years of follow-up.

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