[Comparison of surgical treatment efficacy in patients with complex extrasphincteric rectal fistulas using principal operative methods].

We have analyzed results of treatment of 211 patients with complex extrasphincteric rectal fistulas. We have used the different methods of treatment, in particular, method of Ryzhih, method of "integrated" block and method of "packing" rectal fistulas using autothrombin glue. Estimation of results was based on two main criteria: the postoperative relapses rate and postoperative incontinence rate. The method of "integrated" block and the method of "packing" of rectal fistulas using autothrombin glue give less postoperative relapses rate and the incontinence rate en immediate and remote period after intervention.