306 results match your criteria Anal Surgery Fistulotomy


The effect of suture selection in complex anal fistulas on the success of cutting seton placement and patient comfort.

Pak J Med Sci 2020 May-Jun;36(4):816-820

Dr. Ogun Ersen, Department of General Surgery, Afyonkarahisar Health Sciences University, Afyon, Turkey.

Objective: The aim of our study was to compare the success rates of suture selection, recovery times and pain associated with local wound infection and seton placement in patients undergoing cutting seton placement for complex anal fistula.

Methods: The study included a total of 90 patients who were admitted with the diagnosis of complex anal fistula between January 2015 and July 2018.

Results: The first session and other revision appointments demonstrated that the number of patients who required fistulotomy was significantly higher in group-1 as the seton failed to complete the transection (p = 0. Read More

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http://dx.doi.org/10.12669/pjms.36.4.1920DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260917PMC

Laser ablation of fistula tract (LAFT) and complex fistula-in-ano: "the ideal indication" is becoming clearer….

Tech Coloproctol 2020 Apr 24. Epub 2020 Apr 24.

Department of MedicoSurgical Proctology, Institut Léopold Bellan, Groupe Hospitalier Paris Saint-Joseph, Paris, France.

Background: An initial study enabled us to achieve 60% healing of high transsphincteric fistula-in-ano with laser ablation of fistula tract (LAFT) The purpose of this new study was to investigate other predictors of the success of this technique in the treatment of complex anoperineal fistulas.

Methods: All patients treated with LAFT in our department between May 2017 and October 2018 were included prospectively. LAFT was used for patients with complex anoperineal fistulas who were at high risk of anal incontinence after fistulotomy. Read More

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http://dx.doi.org/10.1007/s10151-020-02203-yDOI Listing

Intra-anal fistulotomy with marsupialization for recurrent high intersphincteric fistula.

Colorectal Dis 2020 Apr 13. Epub 2020 Apr 13.

Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

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http://dx.doi.org/10.1111/codi.15071DOI Listing

Fistulectomy and primary sphincteroplasty (FIPS) to prevent keyhole deformity in simple anal fistula: a single-center retrospective cohort study.

Acta Chir Belg 2020 Apr 15:1-6. Epub 2020 Apr 15.

Department of General Surgery, Heilig-Hartziekenhuis, Lier, Belgium.

Fistulotomy remains the gold standard for the surgical treatment of simple anal fistula, but may cause fecal incontinence and a characteristic anal 'keyhole' deformity. Although seemingly trivial, keyhole deformity may lead to bothersome symptoms such as anal pruritus and fecal soiling. This study aims to evaluate the efficacy of fistulectomy and primary sphincteroplasty (FIPS), a technique with immediate sphincter reconstruction, in the treatment of simple anal fistula and the prevention of keyhole deformity created by simple fistulotomy. Read More

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http://dx.doi.org/10.1080/00015458.2020.1753151DOI Listing

Combined Fistulotomy and Contralateral Anal Internal Sphincterotomy for Recurrent and Complex Anal Fistula to Prevent Recurrence.

Ann Coloproctol 2020 Apr 17;36(2):122-127. Epub 2020 Mar 17.

Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia.

The ideal intervention in the treatment of perianal fistula prevents the onset of infection to speed healing and prevent fistula recurrence while maintaining the function of the anal sphincter. Currently, there is no consensus on the best recommended surgical technique for perianal fistula management. Several studies have shown that fistulotomy was an easy and safe procedure for treatment of perianal fistula. Read More

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http://dx.doi.org/10.3393/ac.2018.11.19DOI Listing

Long-term Outcomes of Laser Ablation of Fistula Tract for Fistula-in-Ano: A Considerable Option in Sphincter Preservation.

Dis Colon Rectum 2020 Jun;63(6):831-836

Department of Surgery, Bursa Medicana Hospital, Bursa, Turkey.

Background: Ablation of anal fistula tract using a radial laser-emitting probe is a sphincter-preserving technique.

Objective: The purpose of this study was to assess long-term outcomes of laser ablation of fistula tract.

Design: This was a retrospective analysis of the long-term outcomes of 100 patients who underwent laser ablation of fistula tract. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001628DOI Listing
June 2020
3.749 Impact Factor

Comparison of surgical outcomes between video-assisted anal fistula treatment and fistulotomy plus seton for complex anal fistula: A propensity score matching analysis - Retrospective cohort study.

Int J Surg 2020 Mar 1;75:99-104. Epub 2020 Feb 1.

Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, China; Institute of Gastrointestinal Surgery and Translational Medicine, Tongji University School of Medicine, Shanghai, China. Electronic address:

Background: Video-assisted anal fistula treatment (VAAFT) is a new minimally invasive technique for treating complex anal fistula (CAF). This study aimed to compare the efficacy and safety of VAAFT with fistulotomy plus seton (FPS) for treatment of CAF.

Materials And Methods: We included 148 patients with CAF receiving surgical treatment at our hospital between January 2017 and December 2018. Read More

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http://dx.doi.org/10.1016/j.ijsu.2020.01.137DOI Listing

PRIMARY SPHINCTEROPLASTY COMPARING TWO DIFFERENT STITCHES IN ANAL FISTULA TREATMENT: EXPERIMENTAL STUDY IN RATS.

Arq Bras Cir Dig 2019 9;32(3):e1459. Epub 2019 Dec 9.

Anhanguera-Uniderp University, Campo Grande, MS, Brazil.

Background: Anal fistula is by definition the communication between the rectum or anal canal with the perineal region, which may be epithelialized and has cryptoglandular origin in 90% of cases. There are a large number of techniques for successfully treating trans-sphincteric fistulas of 20-50%, including primary sphincteroplasty, but it is not clear whether the material used would influence the outcome.

Aim: To analyze the efficacy of polydioxanone and polypropylene wire in primary post-fistulotomy sphincteroplasty in the treatment of trans-sphincteric fistulas in rats. Read More

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http://dx.doi.org/10.1590/0102-672020190001e1459DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6902890PMC
February 2020

Network Pharmacology Reveals the Molecular Mechanism of Cuyuxunxi Prescription in Promoting Wound Healing in Patients with Anal Fistula.

Evid Based Complement Alternat Med 2019 17;2019:3865121. Epub 2019 Sep 17.

Department of Anorectal Surgery, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201210, China.

Background: The healing process of the surgical wound of anal fistulotomy is much slower because of the presence of stool within the wound. Cuyuxunxi (CYXX) prescription is a Chinese herbal fumigant that is being used to wash surgical wound after anal fistulotomy. This study aimed at investigating the molecular mechanism of CYXX prescription using a network pharmacology-based strategy. Read More

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http://dx.doi.org/10.1155/2019/3865121DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766082PMC
September 2019

Combined Endoscopic Fistulotomy and Clipping for the Treatment of Fistula From the Tip of the J-Pouch to Anastomosis.

ACG Case Rep J 2019 Mar 18;6(3):1-3. Epub 2019 Mar 18.

Center for Inflammatory Bowel Diseases, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH.

Patients who undergo restorative protocolectomy with ileal pouch-anal anastomosis may develop mechanical complications such as presacral sinuses and fistulas. The current method of treatment may include medical therapy or redo surgery. Recently, endoscopic management for postoperative complications has shown effective results. Read More

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http://dx.doi.org/10.14309/crj.0000000000000040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6658014PMC
March 2019
3 Reads

The optimal indication for FiLaC is high trans-sphincteric fistula-in-ano: a prospective cohort of 69 consecutive patients.

Tech Coloproctol 2019 Sep 26;23(9):893-897. Epub 2019 Sep 26.

Department of MedicoSurgical Proctology, Institut Léopold Bellan, Groupe Hospitalier Paris Saint-Joseph, 185, Rue Raymond Losserand, 75014, Paris, France.

Background: The aim of our study was to prospectively evaluate the effectiveness of the Fistula Laser Closure (FiLaC) technique in patients at high risk of anal incontinence and to determine the predictors of success and the impact of the procedure on anal continence.

Methods: A prospective study was conducted on all patients treated with FiLaC in our department in May 2016-April 2017, because they were at high risk of anal incontinence after fistulotomy, The fistula was considered healed when the internal and external openings were closed and the patient experienced was no pain or leakage.

Results: A total of 69 consecutive patients (34 males) with a median age of 40 years (33-53 years) were included in the study. Read More

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http://link.springer.com/10.1007/s10151-019-02077-9
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http://dx.doi.org/10.1007/s10151-019-02077-9DOI Listing
September 2019
13 Reads

Perianal abscess in infants: Amenable to conservative treatment in selected cases.

Pediatr Int 2019 Nov 13;61(11):1146-1150. Epub 2019 Nov 13.

Department of Pediatric and Adolescent Surgery, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Background: Perianal abscess is a common surgical condition in daily pediatric practice. Management is a subject of controversy and a variety of approaches are practiced. While the most frequent approach is drainage with/without fistulotomy, the superiority of this approach and the place of conservative approach has not been established. Read More

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http://dx.doi.org/10.1111/ped.13996DOI Listing
November 2019
5 Reads

Contemporary surgical practice in the management of anal fistula: results from an international survey.

Tech Coloproctol 2019 Aug 31;23(8):729-741. Epub 2019 Jul 31.

Department of Colorectal Surgery, Western General Hospital, Edinburgh, UK.

Background: Management of anal fistula (AF) remains challenging with many controversies. The purpose of this study was to explore current surgical practice in the management of AF with a focus on technical variations among surgeons.

Methods: An online survey was conducted by inviting all surgeons and physicians on the membership directory of European Society of Coloproctology and American Society of Colon and Rectal Surgeons. Read More

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http://dx.doi.org/10.1007/s10151-019-02051-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6736896PMC
August 2019
4 Reads

Drainage Seton Versus External Anal Sphincter-Sparing Seton After Rerouting of the Fistula Tract in the Treatment of Complex Anal Fistula: A Randomized Controlled Trial.

Dis Colon Rectum 2019 08;62(8):980-987

Colorectal Surgery Unit, Department of General Surgery, Mansoura University Hospitals, Mansoura University, Dakahliya, Egypt.

Background: Complex anal fistula is one of the challenging anorectal conditions. Several treatments have been proposed for complex anal fistula, yet none proved to be ideal.

Objective: This randomized trial aimed to assess the efficacy of external anal sphincter-sparing seton in comparison with the conventional drainage seton in the treatment of complex anal fistula. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001416DOI Listing
August 2019
25 Reads

Fistulotomy with or without marsupialisation of wound edges in treatment of simple anal fistula: a randomised controlled trial.

Ann R Coll Surg Engl 2019 Sep 3;101(7):472-478. Epub 2019 Jun 3.

Colorectal Surgery Unit, General Surgery Department, Mansoura University Hospitals, Mansoura University, Mansoura City, Egypt.

Background: Promotion of healing of the anal wound after fistulotomy may help accelerate recovery and return to work. The present study aimed to assess the effect of marsupialisation of the edges of the laid open fistula track on wound healing after anal fistulotomy for simple anal fistula.

Methods: This was a prospective randomised trial on patients with simple anal fistula. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6667946PMC
September 2019
5 Reads

Factors Increasing the Risk of Recurrence in Fistula-in-ano.

Cureus 2019 Mar 7;11(3):e4200. Epub 2019 Mar 7.

Internal Medicine, Jinnah Hospital, Lahore, PAK.

Anal fistula, or fistula-in-ano, is a condition involving the anal region that is common yet debilitating. Surgery is the mainstay of treatment for an anal fistula and the chances of recurrence are quite high even after corrective surgical procedures. The risk factors for recurrence can be broadly classified into four categories: 1) risk factors related to the fundamental anatomy of the fistula and presence of comorbidities, 2) lack of proper preoperative assessment of the fistula, which includes failure to recognize the internal opening and overall structure of the fistula and not supplementing the proctologic examination with sufficient imaging, 3) intraoperative loopholes that include improper procedure selection, inexperience of the surgeon, and failure to get rid of the entire tract along with its ramifications, and 4) lack of proper postoperative care in the early and late periods following the surgery. Read More

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http://dx.doi.org/10.7759/cureus.4200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6505737PMC
March 2019
11 Reads

Anal fistula plug versus surgeon's preference for surgery for trans-sphincteric anal fistula: the FIAT RCT.

Health Technol Assess 2019 05;23(21):1-76

Birmingham Clinical Trials Unit, University of Birmingham, Birmingham, UK.

Background: The aim of fistula surgery is to eradicate the disease while preserving anal sphincter function. The efficacy of the Surgisis anal fistula plug (Cook Medical, Bloomington, IN, USA) in the treatment of trans-sphincteric fistula-in-ano has been variably reported.

Objectives: To undertake a randomised comparison of the safety and efficacy of the Surgisis anal fistula plug in comparison with surgeon's preference for the treatment of trans-sphincteric anal fistulas. Read More

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http://dx.doi.org/10.3310/hta23210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545498PMC
May 2019
21 Reads

Long-term outcomes in patients after ligation of the intersphincteric fistula tract.

Dan Med J 2019 Apr;66(4)

Introduction: Ligation of the intersphincteric fistula tract (LIFT) to treat transsphincteric fistulae has yielded varied but promising results. However, it has been shown that long-term follow-up (> 250 days) is vital to obtain the correct surgical outcome. Here, we present the long-term results of patients undergoing the LIFT procedure at Herlev Hospital, Denmark. Read More

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April 2019
14 Reads

A randomized controlled trial on the effect of topical phenytoin 2% on wound healing after anal fistulotomy.

Colorectal Dis 2019 Jun 4;21(6):697-704. Epub 2019 Mar 4.

Colorectal Surgery Unit, General Surgery Department, Mansoura University Hospitals, Mansoura University, Mansoura City, Egypt.

Aim: Laying open fistulotomy is the standard treatment for simple anal fistula. However, healing of the resultant anal wound may be prolonged and may adversely affect a patient's lifestyle and work. This randomized trial aimed to assess the effect of topical phenytoin 2% powder spray on healing of the anal wound following fistulotomy. Read More

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http://doi.wiley.com/10.1111/codi.14580
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http://dx.doi.org/10.1111/codi.14580DOI Listing
June 2019
12 Reads

Ambulatory Surgery for Perianal Crohn's Disease: Study of Feasibility.

Gastroenterol Res Pract 2018 23;2018:5249087. Epub 2018 Dec 23.

Policlinico Tor Vergata, Department of Surgery, University Tor Vergata, Viale Oxford 81, 00133 Rome, Italy.

Background: One-third of Crohn's disease (CD) patients present perianal fistula. The gold standard in the diagnosis and treatment of symptomatic perianal disease (PAD) in CD is the exploration of the anal canal and distal rectum under anesthesia (EUA). This procedure is mainly conducted as a day case surgery. Read More

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http://dx.doi.org/10.1155/2018/5249087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323458PMC
December 2018
29 Reads

First aid toolkit for anal fistulas, a detailed treatise for trainees - a video vignette (ESCP Trainee Video).

Authors:
D D E Zimmerman

Colorectal Dis 2019 02 15;21(2):244. Epub 2018 Dec 15.

ETZ Hospital, Tilburg, The Netherlands.

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http://dx.doi.org/10.1111/codi.14496DOI Listing
February 2019
81 Reads

The Impact of the Outcome of Treating a High Anal Fistula by Using a Cutting Seton and Staged Fistulotomy on Saudi Arabian Patients.

Ann Coloproctol 2018 Oct 10;34(5):234-240. Epub 2018 Oct 10.

Department of General Surgery, Al Ansar General Hospital, Medina, Saudi Arabia.

Purpose: A cutting seton is used after a partial distal fistulotomy to treat patients with a high exrasphincteric fistula in ano to avoid fecal incontinence and recurrence. In Saudi Arabia, religious practices necessitate complete cleanness, which makes conditions affecting anal continence a major concern to patients affected by an anal fistula. Therefore, we aimed to evaluate the efficiency of the cutting seton in treating a high anal fistula among Saudi Arabians. Read More

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http://dx.doi.org/10.3393/ac.2018.03.23DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238808PMC
October 2018
21 Reads

Long-term outcomes and quality of life following ligation of the intersphincteric fistula tract for high transsphincteric fistulas.

Colorectal Dis 2019 01 21;21(1):30-37. Epub 2018 Nov 21.

Department of Colorectal Surgery, Suzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Suzhou, 215000, Jiangsu Province, China.

Aim: Published outcomes following ligation of the intersphincteric fistula tract (LIFT) for high transsphincteric fistulas (HTFs) are equivocal probably because most trials are small and comprise mixed patient populations. The aim of this study was to highlight the long-term efficacy of LIFT for HTFs in a large homogeneous sample and to determine the risk factors that contribute to non-healing resulting in failure and recurrence.

Method: A retrospective study was performed which assessed patients with HTFs treated by LIFT without prior loose setons from September 2012 to December 2017. Read More

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http://dx.doi.org/10.1111/codi.14405DOI Listing
January 2019
21 Reads

CAN THREE-DIMENSIONAL ANORECTAL ULTRASONOGRAPHY BE INCLUDED AS A DIAGNOSTIC TOOL FOR THE ASSESSMENT OF ANAL FISTULA BEFORE AND AFTER SURGICAL TREATMENT?

Arq Gastroenterol 2018 Nov 6;55Suppl 1(Suppl 1):18-24. Epub 2018 Aug 6.

Universidade Federal do Ceará, Faculdade de Medicina, Departamento de Cirurgia, Fortaleza, CE, Brasil.

Background: There is no a clear knowledge concerning the division of any part of the anal sphincter complex and the effect of this procedure on the function of the anal canal during the treatment of perianal fistula.

Objective: To evaluate the usefulness of 3D anorectal ultrasound in the assessment of anal fistula, quantifying the length of the sphincter muscle to be transected, selecting patients for different approaches and identifying healing, failure or recurrence after the surgical treatment.

Methods: A prospective study included patients with primarily cryptogenic transsphincteric anal fistula assessed by fecal Incontinence score, tri-dimensional anorectal ultrasound and anal manometry before and after surgery. Read More

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http://dx.doi.org/10.1590/S0004-2803.201800000-42DOI Listing
November 2018
23 Reads

Recent trends (2016-2017) in the treatment of inflammatory bowel disease.

Ann Gastroenterol Surg 2018 Jul 2;2(4):282-288. Epub 2018 Jun 2.

Department of Surgery Kyorin University Tokyo Japan.

Prevalence of inflammatory bowel disease (IBD), ulcerative colitis and Crohn's disease has dramatically increased in Asian countries in the last three decades. In this period, many new medical therapies were introduced for the treatment of IBD, such as immunosuppressants, anti-tumor necrosis factor agents, leukocyte apheresis, anti-integrin antibody, and so on, which have contributed to induce remission and to reduce complications in IBD. As for surgical techniques for Crohn's disease, a stapled functional end-to-end anastomosis and conventional end-to-end anastomosis have similar perianastomotic recurrence rate and reoperation rate. Read More

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http://dx.doi.org/10.1002/ags3.12177DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6036397PMC
July 2018
39 Reads

Is fistulotomy still the gold standard in present era and is it highly underutilized?: An audit of 675 operated cases.

Authors:
Pankaj Garg

Int J Surg 2018 Aug 8;56:26-30. Epub 2018 Jun 8.

Colorectal Surgery Division, Indus Super Specialty Hospital, Mohali, Punjab, India; Garg Fistula Research Institute, Panchkula, Haryana, India. Electronic address:

Aim: Due to fear of incontinence, fistulotomy perhaps remains highly underutilized. The aim was to analyze the efficacy of fistulotomy in a large cohort, to assess the magnitude of underutilization of fistulotomy by current classifications and to identify the subgroup in whom the fistulotomy should be done.

Methods: All consecutive operated patients of fistula-in-ano were included in the study retrospectively. Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.06.009DOI Listing
August 2018
17 Reads

Congenital Perirectal Dermoid Cyst: A Rare Cause of Complex, Recurrent Pediatric Fistula-in-ano.

Front Pediatr 2018 16;6:143. Epub 2018 May 16.

Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA, United States.

Perianal abscess and fistula-in-ano are well-described in the pediatric population. They are most common in infants less than 1 year of age and often resolve with oral antibiotics; occasionally they require drainage or fistulotomy. The etiology is commonly associated with cryptoglandular obstruction and subsequent infection, however alternative diagnoses should be considered in cases of recurrent abscesses and fistulae that are refractory to standard treatments. Read More

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http://dx.doi.org/10.3389/fped.2018.00143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5964207PMC
May 2018
24 Reads

3D high-resolution anorectal manometry in patients with perianal fistulas: comparison with 3D-anal ultrasound.

BMC Gastroenterol 2018 Apr 4;18(1):44. Epub 2018 Apr 4.

Proctos Clinic, Bilthoven, The Netherlands.

Background: Perianal fistula surgery can damage the anal sphincters which may cause faecal incontinence. By measuring regional pressures, 3D-HRAM potentially provides better guidance for surgical strategy in patients with perianal fistulas. The aim was to measure regional anal pressures with 3D-HRAM and to compare these with 3D-EUS findings in patients with perianal fistulas. Read More

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http://dx.doi.org/10.1186/s12876-018-0770-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885412PMC
April 2018
20 Reads

Laparoscopic abdominoperineal resection for the treatment of a mucinous adenocarcinoma associated with an anal fistula.

J Surg Case Rep 2018 Mar 7;2018(3):rjy036. Epub 2018 Mar 7.

Department of Propaedeutic Surgery, Hippokratio Hospital, Medical School University of Athens, Greece.

Mucinous adenocarcinoma associated with an anal fistula is a rare oncologic entity which may pose diagnostic and therapeutic challenges for Surgeons and Medical Oncologists. Few reported cases without definite therapeutic guidelines exist. It represents 2-3% of all gastrointestinal malignancies and arises from chronic anal fistulas, ischiorectal or perianal abscesses. Read More

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http://dx.doi.org/10.1093/jscr/rjy036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841379PMC
March 2018
6 Reads

Early outcomes of fluorescence angiography in the setting of endorectal mucosa advancement flaps.

Tech Coloproctol 2018 01 18;22(1):25-30. Epub 2017 Dec 18.

Division of Colon and Rectal Surgery, Department of Surgery, Morehouse School of Medicine, 720 Westview Dr., Atlanta, GA, 30310, USA.

Background: Fistula-in-ano has a reported incidence of 31-34%. Besides fistulotomy, options for fistula repair are seton placement, endorectal advancement flap (ERAF), fibrin sealant, anal fistula plug and ligation of the intersphincteric fistula tract. Despite having a reported success rate as high as 75-98%, ERAF is not without complications, including flap breakdown, recurrence and fecal incontinence. Read More

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http://dx.doi.org/10.1007/s10151-017-1732-7DOI Listing
January 2018
16 Reads

The best surgical strategy for anal fistula based on a network meta-analysis.

Oncotarget 2017 Nov 12;8(58):99075-99084. Epub 2017 Oct 12.

Emergency Center, Zhongnan Hospital of Wuhan University, Hubei Province, Wuhan 430071, P.R. China.

Objective: To determine a superior surgical treatment for anal fistula through a network meta-analysis and to provide the best direction for development in this field.

Methods: We conducted a systematic literature search of the PubMed, Embase and Cochrane Library databases and extracted data from randomized controlled trials, which compared healing time, incontinence and recurrence associated with surgical strategies for anal fistula. A network meta-analysis was conducted using ADDIS software by evaluating the 3 parameters. Read More

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http://dx.doi.org/10.18632/oncotarget.21836DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5716793PMC
November 2017
58 Reads

Combined treatment approach to chronic anal fissure with associated anal fistula.

ANZ J Surg 2018 Jul-Aug;88(7-8):775-778. Epub 2017 Dec 3.

Colorectal Surgery Unit, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.

Background: Anal fistula in association with chronic anal fissure (fissure-fistula) is infrequently described. Recognizing this association and managing both components may help prevent some treatment failures seen with chronic anal fissure. This study aims to report on the outcomes of 20 consecutive patients with fissure-fistula managed with fistulotomy and injection of botulinum A toxin. Read More

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http://doi.wiley.com/10.1111/ans.14292
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http://dx.doi.org/10.1111/ans.14292DOI Listing
August 2019
31 Reads

What happens after a failed LIFT for anal fistula?

Am J Surg 2017 Dec 18;214(6):1210-1213. Epub 2017 Sep 18.

Section of Colon and Rectal Surgery, Creighton University School of Medicine, CHI Medical Center, Omaha, NE, USA. Electronic address:

Background: Ligation of the intersphincteric fistula tract (LIFT) was developed to treat transsphincteric anal fistulas. The aftermath of a failed LIFT has not been well documented.

Methods: Retrospective chart review of LIFT procedure for transsphincteric anal fistula between March 2012 and September 2016. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029610173049
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http://dx.doi.org/10.1016/j.amjsurg.2017.08.042DOI Listing
December 2017
82 Reads

Short-term efficacy and safety of three novel sphincter-sparing techniques for anal fistulae: a systematic review.

Tech Coloproctol 2017 Oct 29;21(10):775-782. Epub 2017 Oct 29.

Fistula Research Unit, St Mark's Hospital and Academic Institute, Harrow, UK.

Background: The surgical treatment of complex anal fistulae, particularly those involving a significant portion of the anal sphincter in which fistulotomy would compromise continence, is challenging. Video-assisted anal fistula treatment (VAAFT), fistula tract laser closure (FiLaC™) and over-the-scope clip (OTSC) proctology system are all novel sphincter-sparing techniques targeted at healing anal fistulae. In this study, all published articles on these techniques were reviewed to determine efficacy, feasibility and safety. Read More

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http://link.springer.com/10.1007/s10151-017-1699-4
Publisher Site
http://dx.doi.org/10.1007/s10151-017-1699-4DOI Listing
October 2017
100 Reads

Ligation of Intersphincteric Fistula Tract for Fistula in Ano: Lessons Learned From a Decade of Experience.

Dis Colon Rectum 2017 Oct;60(10):1065-1070

Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Background: Ligation of intersphincteric fistula tract is a well-described sphincter-preserving technique for the management of fistula in ano. In 2007, we reported our early experience demonstrating a primary success rate of 94.4%. Read More

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http://dx.doi.org/10.1097/DCR.0000000000000880DOI Listing
October 2017
297 Reads
3.750 Impact Factor

Patterns of recurrence/persistence of criptoglandular anal fistula after the LIFT procedure. Long-term observacional study.

Cir Esp 2017 Aug - Sep;95(7):385-390. Epub 2017 Jun 29.

Sección de Cirugía Colorrectal, Servicio de Cirugía General y Digestiva, Hospital Universitario Donostia, San Sebastián, España.

Objective: To study the recurrence/persistence rate of complex cripotoglandular anal fistula after the LIFT procedure and analyse the patterns of recurrence/persistence.

Patients And Methods: Observational study of patients with transe-sphincteric or supra-sphincteric anal fistula treated using the LIFT procedure from December 2008 to April 2016. Variables studied included clinical characteristics, surgical technique and results. Read More

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http://dx.doi.org/10.1016/j.ciresp.2017.05.010DOI Listing
July 2018
38 Reads

Comparing existing classifications of fistula-in-ano in 440 operated patients: Is it time for a new classification? A Retrospective Cohort Study.

Authors:
Pankaj Garg

Int J Surg 2017 Jun 13;42:34-40. Epub 2017 Apr 13.

Colorectal Surgery Division, Indus Super Specialty Hospital, Mohali, Punjab, India; Garg Fistula Research Institute, Panchkula, Haryana, India. Electronic address:

Background: Fistula-in-ano are classified so as to grade them according to increasing complexity which can help guide their management. The classifications used are Parks, St James Hospital University (SJHU) and Standard Practice Task Force (SPTF). Laying open (fistulotomy) of the fistula tract is the most commonly done procedure for fistula-in-ano and has high success rate. Read More

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http://dx.doi.org/10.1016/j.ijsu.2017.04.019DOI Listing
June 2017
27 Reads

Five years of experience with the FiLaC™ laser for fistula-in-ano management: long-term follow-up from a single institution.

Tech Coloproctol 2017 Apr 7;21(4):269-276. Epub 2017 Mar 7.

Institute of Medical Informatics and Statistics, Christian-Albrechts-University, Kiel, Germany.

Background: There are limited data available concerning endofistular therapies for fistula-in-ano, with our group reporting the first preliminary outcomes of the use of the radial fibre Fistula laser Closing (FiLaC ™) device.

Methods: The aim of this study was to assess a cohort of anal fistulae managed with laser ablation plus definitive flap closure of the internal fistula opening over a long-term follow-up. Factors governing primary healing success and secondary healing success (i. Read More

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http://link.springer.com/10.1007/s10151-017-1599-7
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http://dx.doi.org/10.1007/s10151-017-1599-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5423928PMC
April 2017
120 Reads

German S3 guidelines: anal abscess and fistula (second revised version).

Langenbecks Arch Surg 2017 Mar 1;402(2):191-201. Epub 2017 Mar 1.

Praxisklinik, 2000, Freiburg, Germany.

Background: The incidence of anal abscess and fistula is relatively high, and the condition is most common in young men.

Methods: This is a revised version of the German S3 guidelines first published in 2011. It is based on a systematic review of pertinent literature. Read More

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http://dx.doi.org/10.1007/s00423-017-1563-zDOI Listing
March 2017
24 Reads

A systematic review of the management of anal fistula in infants.

Tech Coloproctol 2016 Nov 23;20(11):735-744. Epub 2016 Sep 23.

Department of General Surgery, Faculty of Medicine, Mansoura University Hospital, Elgomhuoria Street, Mansoura, Egypt.

Background: Fistula-in-ano (FIA) in infants differs, in several ways, from FIA in adults. The current review aims to assess FIA in infants less than 2 years old and to illustrate the outcome of different treatment modalities described in the literature.

Methods: An organized search of the English literature over the past 25 years was conducted according to the preferred reporting items for systematic reviews and meta-analyses guidelines. Read More

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http://dx.doi.org/10.1007/s10151-016-1536-1DOI Listing
November 2016
23 Reads

Efficacy of 10% sucralfate ointment after anal fistulotomy: A prospective, double-blind, randomized, placebo-controlled trial.

Int J Surg 2016 Dec 17;36(Pt A):13-17. Epub 2016 Oct 17.

Department of Clinical Pharmacy, Nephrology and Kidney Transplant Research Center, Faculty of Pharmacy, Urmia University of Medical Sciences, Urmia, Iran.

Introduction: The most frequent problems after anal fistulotomy are pain, bleeding, and delayed or impaired wound healing. Topical Sucralfate preparation has been used to treat a wide variety of wounds. In this study, we investigate effects of 10% sucralfate ointment on wound healing and postoperative pain after fistulotomy. Read More

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http://dx.doi.org/10.1016/j.ijsu.2016.10.017DOI Listing
December 2016
37 Reads

Meta-analysis of randomized clinical trials comparing fistulectomy versus fistulotomy for low anal fistula.

Springerplus 2016 6;5(1):1722. Epub 2016 Oct 6.

Colorectal and Anal Department, The First Affiliated Hospital of Guangxi Medical University, Nanning City, People's Republic of China.

Objective: We evaluated the efficacy of fistulectomy compared to fistulotomy, and which procedure was the best procedure for patients with low anal fistula.

Methods: The literature search included PubMed, EMBASE, Cochrane library, Google original studies and a manual search of reference on the topic of fistulectomy compared to fistulotomy for anal fistula that had a deadline for publication by June 2016. Randomized controlled trials studies were included in the review. Read More

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http://dx.doi.org/10.1186/s40064-016-3406-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5052239PMC
October 2016
37 Reads

Quality of life following fistulotomy - short term follow-up.

Colorectal Dis 2017 Jun;19(6):563-569

The Pelvic Floor Unit, Department of Surgery, Guy's & St Thomas' Hospital, London, UK.

Aim: Anal fistula causes pain and discharge of pus and blood. Treatment by fistulotomy has the highest success, but can risk continence; treatment needs to balance cure with continence. This study assessed the impact of fistulotomy on quality of life (QOL) and continence. Read More

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http://dx.doi.org/10.1111/codi.13538DOI Listing
June 2017
16 Reads

Surgical Management of Fistula-in-ano Among Patients With Crohn's Disease: Analysis of Outcomes After Fistulotomy or Seton Placement-Single-Center Experience.

Scand J Surg 2017 Sep 22;106(3):211-215. Epub 2016 Aug 22.

1 2nd Department of Surgery, Aretaieion Hospital, University of Athens, Athens, Greece.

Background And Aim: Fistula-in-ano is a common problem among patients with Crohn's disease and carries significant morbidity. We aimed to study the outcomes of surgical treatment of fistula-in-ano after fistulotomy or seton placement in patients with perianal fistulizing Crohn's disease.

Material And Methods: A retrospective observational study of 59 patients diagnosed with Crohn's disease, who were treated surgically for fistula-in-ano between 2010 and 2014 in our department. Read More

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http://dx.doi.org/10.1177/1457496916665763DOI Listing
September 2017
27 Reads

Surgical management of fistulating perianal Crohn's disease: a UK survey.

Colorectal Dis 2017 Mar;19(3):266-273

Addenbrooke's Hospital, Cambridge, UK.

Aim: Around one-third of patients with Crohn's disease are affected by Crohn's fistula-in-ano (pCD). It typically follows a chronic course and patients undergo long-term medical and surgical therapy. We set out to describe current surgical practice in the management of pCD in the UK. Read More

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http://dx.doi.org/10.1111/codi.13462DOI Listing
March 2017
13 Reads

Management of low transsphincteric anal fistula with serial setons and interval muscle-cutting fistulotomy.

J Integr Med 2016 Mar;14(2):154-8

Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL 33331, USA.

This study evaluates low transsphincteric anal fistula managed by serial setons and interval fistulotomy, with attention to healing without recurrence and preservation of continence. Following Institutional Review Board approval, consecutive anal fistula operations performed by a single surgeon from January 1, 2009 to December 31, 2013 were retrospectively reviewed using electronic medical records and telephone interviews for patients lost to follow up. Of the 71 patients, 26 (37%) had low transsphincteric fistula (23 males and 3 females; mean age: 46 years), treated at our institution by seton placement followed by interval surgical muscle cutting and subsequent seton replacement or final fistulotomy. Read More

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http://dx.doi.org/10.1016/S2095-4964(16)60229-7DOI Listing
March 2016
9 Reads

Treatment of Perianal Fistulas in Poland.

Pol Przegl Chir 2015 Dec;87(12):614-9

Unlabelled: A perianal fistula is a pathological canal covered by granulation tissue connecting the anal canal and perianal area epidermis. The above-mentioned problem is the reason for the patient to visit the surgeonproctologist. Unfortunately, the disease is characterized by a high recurrence rate, even despite proper management. Read More

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http://dx.doi.org/10.1515/pjs-2016-0012DOI Listing
December 2015
23 Reads

Outcomes of Various Interventions for First-Time Perianal Abscesses in Children.

Biomed Res Int 2016 5;2016:9712854. Epub 2016 Jan 5.

Institution of Clinical Science, Lund University, Department of Pediatric Surgery, Skåne University Hospital, 221 85 Lund, Sweden.

Introduction: In children treated surgically for first-time perianal abscesses, discovery and excision of concomitant fistulas may also be warranted.

Aim: To evaluate children of varying age after incision and drainage of first-time perianal abscesses, examining recurrences rates with and without search for a fistula.

Method: A retrospective review was conducted, analyzing children (ages 0-15 years) treated for first-time perianal abscesses at a tertiary pediatric surgical center, with a minimum follow-up of 6 months. Read More

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http://dx.doi.org/10.1155/2016/9712854DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4736375PMC
December 2016
10 Reads

Predictive factors for recurrence of cryptoglandular fistulae characterized by preoperative three-dimensional endoanal ultrasound.

Colorectal Dis 2016 May;18(5):503-9

Department of Gastroenterology and Hepatology, VU University Medical Centre, Amsterdam, The Netherlands.

Aim: Precise information regarding the location of an anal fistula and its relationship to adjacent structures is necessary for selecting the best surgical strategy. Retrospective and cross-sectional studies were performed to determine predictive factors for recurrence of anal fistula from preoperative examination by three-dimensional endoanal ultrasound (3D-EAUS).

Method: Patients in our tertiary centre and in a private centre specialized in proctology undergoing preoperative 3D-EAUS for cryptoglandular anal fistulae between 2002 and 2012 were included. Read More

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http://dx.doi.org/10.1111/codi.13211DOI Listing
May 2016
30 Reads