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Цель — удалить нежизнеспособные ткани и источник хронического воспаления, устранить спазм анального сфинктера — основную причину боли, создать условия для быстрого и полноценного заживления раны, предотвратить рецидивы заболевания [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-koloproktologiya/issechenie-analnoj-treshiny/).\n\n\n\n## Показания\n**Абсолютные показания** к иссечению анальной трещины: хроническая форма заболевания (трещина существует более 6–8 недель), выраженный рубцовый процесс по краям дефекта, формирование «сторожевого бугорка», неэффективность консервативной терапии в течение 2–3 месяцев [6](https://imedcentre.com/prokhotskiy_aleksey_nikolaevich/tpost/8crsivynk1-issechenie-analnoi-treschini-sovremennii). \n\n**Относительные показания**: частые рецидивы заболевания, выраженный болевой синдром, значительно снижающий качество жизни пациента, сочетание анальной трещины с другими проктологическими заболеваниями [6](https://imedcentre.com/prokhotskiy_aleksey_nikolaevich/tpost/8crsivynk1-issechenie-analnoi-treschini-sovremennii).\n\n## Противопоказания\n**Некоторые противопоказания к операции**: \n* острые воспалительные процессы в аноректальной области [6](https://imedcentre.com/prokhotskiy_aleksey_nikolaevich/tpost/8crsivynk1-issechenie-analnoi-treschini-sovremennii); \n* тяжёлые декомпенсированные заболевания [6](https://imedcentre.com/prokhotskiy_aleksey_nikolaevich/tpost/8crsivynk1-issechenie-analnoi-treschini-sovremennii); \n* нарушения свёртываемости крови [6](https://imedcentre.com/prokhotskiy_aleksey_nikolaevich/tpost/8crsivynk1-issechenie-analnoi-treschini-sovremennii). \n\nРешение об оперативном лечении принимает проктолог после тщательного обследования и оценки клинической картины [6](https://imedcentre.com/prokhotskiy_aleksey_nikolaevich/tpost/8crsivynk1-issechenie-analnoi-treschini-sovremennii).\n\n## Методика\n**Некоторые методы иссечения анальной трещины**: \n* **Классическое иссечение с дозированной сфинктеротомией** — удаление рубцово-изменённых краёв трещины и рассечение части волокон внутреннего сфинктера для устранения спазма [6](https://imedcentre.com/prokhotskiy_aleksey_nikolaevich/tpost/8crsivynk1-issechenie-analnoi-treschini-sovremennii). \n* **Лазерное иссечение** — с помощью лазерного луча хирург точно и бескровно выпаривает рубцово-изменённые ткани, не затрагивая здоровые участки [1](https://Uniclinic.ru/tsentr-hirurgii/operativnaya-koloproktologiya/issechenie-analnoj-treshiny/). \n* **Радиоволновое иссечение** — позволяет бесконтактно рассекать ткани с одновременной коагуляцией сосудов, что уменьшает риск кровотечения и инфицирования раны [6](https://imedcentre.com/prokhotskiy_aleksey_nikolaevich/tpost/8crsivynk1-issechenie-analnoi-treschini-sovremennii). \n\nВыбор методики зависит от характера и локализации трещины, оснащённости клиники, квалификации хирурга и индивидуальных особенностей пациента [6](https://imedcentre.com/prokhotskiy_aleksey_nikolaevich/tpost/8crsivynk1-issechenie-analnoi-treschini-sovremennii).\n\n## Реабилитация\n**Некоторые рекомендации после операции**: \n* Первые несколько дней рекомендуется ежедневная смена перевязки и обработка раны антисептическими растворами, чтобы предотвратить инфекции [8](https://www.MedCentrServis.ru/proctology/issechenie-analnoy-treshchiny/). \n* Врач может назначить противовоспалительные и обезболивающие препараты для снятия болевого синдрома и уменьшения воспаления [8](https://www.MedCentrServis.ru/proctology/issechenie-analnoy-treshchiny/). \n* В первые дни после операции рекомендуется следовать диете, исключая острую, жирную и жареную пищу [8](https://www.MedCentrServis.ru/proctology/issechenie-analnoy-treshchiny/). \n* В первые дни после операции рекомендуется избегать длительной активности и не поднимать тяжести [8](https://www.MedCentrServis.ru/proctology/issechenie-analnoy-treshchiny/). \n\n**В большинстве случаев восстановительный период** после операции — 3–4 недели [15](https://polyclinika.ru/direction2/operatsionnyy-blok/issechenie-analnykh-treshchin/).","linksData":[{"sourceId":1,"url":"https://Uniclinic.ru/tsentr-hirurgii/operativnaya-koloproktologiya/issechenie-analnoj-treshiny/","shownUrl":"https://Uniclinic.ru/tsentr-hirurgii/operativnaya-koloproktologiya/issechenie-analnoj-treshiny/","title":"Иссечение анальной трещины в Москве - 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