Abstract
Summary. The aim of the study was to compare and analyze the results of surgical treatment of patients with rectal fistulas by performing standard techniques and modified fistula ligation techniques.
 Materials and methods: a retrospective study 55 patients who underwent surgical treatment for transfusion of the rectum between January 2017 and April 2019. The patients were divided into two groups: 29 patients (52.7%) were operated by standard procedures, 26 patients (47.3%) underwent surgery using a modified fistula ligation technique.
 Results. The use of standard techniques for surgical treatment of rectal fistula provided 86.2% satisfactory results. However, in addition to disease recurrence, 6.8% of the development of anal sphincter insufficiency was recorded. Using modified LIFT technology, 84.6% of successful operations were achieved. There were no cases of sphincter apparatus failure.
 Conclusions. Performing minimally invasive techniques for surgical correction of rectal fistula significantly reduces the risk of anal sphincter insufficiency in the postoperative period.
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