286 results match your criteria Anal Surgery Fistulotomy


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

Colorectal Dis 2019 Feb 10. Epub 2019 Feb 10.

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
February 2019
6 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
6 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
13 Reads

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

Colorectal Dis 2019 Jan 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
15 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
5 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
18 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
14 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
6 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
13 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
3 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
11 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
21 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
Publisher Site
http://dx.doi.org/10.1111/ans.14292DOI Listing
December 2017
19 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
52 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
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http://dx.doi.org/10.1007/s10151-017-1699-4DOI Listing
October 2017
56 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
198 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
23 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
16 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
Publisher Site
http://dx.doi.org/10.1007/s10151-017-1599-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5423928PMC
April 2017
80 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
11 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
10 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
29 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
30 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
6 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
18 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
7 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
3 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
6 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
6 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
21 Reads

Current management of anal fistulas in Crohn's disease.

Prz Gastroenterol 2015 10;10(2):83-8. Epub 2015 Mar 10.

Chair and Department of Gastroenterology, Human Nutrition, and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland.

Anal fistulas occurring in Crohn's disease (CD) comprise a risk factor of severe course of inflammation. They are frequently intractable due to various factors such as penetration of the anal canal or rectal wall, impaired wound healing, and immunosuppression, among others. Anal fistulas typical to CD develop from fissures or ulcers of the anal canal or rectum. Read More

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http://dx.doi.org/10.5114/pg.2015.49684DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4631268PMC
November 2015
22 Reads

The outcome of fistulotomy for anal fistula at 1 year: a prospective multicentre French study.

Colorectal Dis 2016 Mar;18(3):279-85

ClinSearch, Bagneux, France.

Aim: The study aimed to evaluate outcome at 1 year of one- and two-stage fistulotomy for anal fistula in a large group of patients.

Method: A prospective multicentre observational study was designed to include patients with anal fistula treated by one- or two-stage fistulotomy. Data were collected using a self-administered questionnaire before surgery, during healing and at 1 year after surgery. Read More

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http://dx.doi.org/10.1111/codi.13121DOI Listing
March 2016
5 Reads

Comparing Ksharasutra (Ayurvedic Seton) and open fistulotomy in the management of fistula-in-ano.

J Nat Sci Biol Med 2015 Jul-Dec;6(2):406-10

Department of Pediatric Surgery, NRS Medical College and Hospital, Kolkata, West Bengal, India.

Background: Most commonly practiced surgical "lay open" technique to treat fistula-in-ano (a common anorectal pathology) has high rate of recurrence and anal incontinence. Alternatively, a nonsurgical cost efficient treatment with Ksharasutra (cotton Seton coated with Ayurvedic medicines) has minimal complications. In our study, we have tried to compare these two techniques. Read More

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http://dx.doi.org/10.4103/0976-9668.160022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4518420PMC
August 2015
7 Reads

Fistulotomy or fistulectomy and primary sphincteroplasty for anal fistula (FIPS): a systematic review.

Tech Coloproctol 2015 Jul 11;19(7):391-400. Epub 2015 Jun 11.

Proctology Unit, Department of Surgical Sciences, Catholic University, Largo A. Gemelli, 8, 00168, Rome, Italy,

There is still no clear consensus about surgical treatment of anal fistulas. Fistulotomy or fistulectomy and primary sphincter reconstruction is still regarded with skepticism. The aim of this systematic review was to evaluate the evidence in the literature supporting the use of this technique in the treatment of complex anal fistulas. Read More

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http://dx.doi.org/10.1007/s10151-015-1323-4DOI Listing
July 2015
4 Reads

Treatment of non-IBD anal fistula.

Dan Med J 2015 May;62(5)

Department of Surgery A, Odense University Hospital, DK 5000 Odense C, Denmark.

The course of the fistula tract in relation to the anal sphincter is identified by clinical examination under general anaesthesia using a fistula probe and injection of fluid into the external fistula opening. In the event of a complex fistula or in the case of fistula recurrence, this should be supplemented with an endoluminal ultrasound scan and/or an MRI scan. St. Read More

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May 2015
9 Reads

[Surgical treatment for perianal Crohn's disease].

Nihon Geka Gakkai Zasshi 2015 Mar;116(2):87-93

Perianal lesions are a frequent complication of Crohn's disease (CD) and include fistula, abscess, anal ulcer, skin tag, anal stricture, and carcinoma. Perianal fistula is the most commonly observed condition and exhibits multiple incidence and intractable characteristics. The starting point for the management of perianal fistula is an accurate diagnosis, which requires careful exploration during an EUA. Read More

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March 2015
6 Reads

PERFACT procedure: a new concept to treat highly complex anal fistula.

World J Gastroenterol 2015 Apr;21(13):4020-9

Pankaj Garg, Mahak Garg, Indus Super Specialty Hospital, Haryana 134113, India.

Aim: To check the efficacy of the PERFACT procedure in highly complex fistula-in-ano.

Methods: The PERFACT procedure (proximal superficial cauterization, emptying regularly fistula tracts and curettage of tracts) entails two steps: superficial cauterization of mucosa at and around the internal opening and keeping all the tracts clean. The principle is to permanently close the internal opening by granulation tissue. Read More

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http://dx.doi.org/10.3748/wjg.v21.i13.4020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4385552PMC
April 2015
12 Reads

Rectal tone and compliance affected in patients with fecal incontinence after fistulotomy.

World J Gastroenterol 2015 Apr;21(13):4000-5

Richard Alexander Awad, Santiago Camacho, Francisco Flores, Evelyn Altamirano, Mario Antonio García, Experimental Medicine and Motility Unit, Gastroenterology Service U-107, Mexico City General Hospital, Mexico DF06726, Mexico.

Aim: To investigate the anal sphincter and rectal factors that may be involved in fecal incontinence that develops following fistulotomy (FIAF).

Methods: Eleven patients with FIAF were compared with 11 patients with idiopathic fecal incontinence and with 11 asymptomatic healthy subjects (HS). All of the study participants underwent anorectal manometry and a barostat study (rectal sensitivity, tone, compliance and capacity). Read More

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http://dx.doi.org/10.3748/wjg.v21.i13.4000DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4385549PMC
April 2015
12 Reads

Long-term follow-up after surgery for simple and complex cryptoglandular fistulas: fecal incontinence and impact on quality of life.

Dis Colon Rectum 2015 May;58(5):533-9

1 Department of Gastroenterology and Hepatology, Vrije Universiteit Medical Centre Amsterdam, The Netherlands 2 Department of Surgery, VU University Medical Center, Amsterdam, The Netherlands 3 Proctos Kliniek, Bilthoven, The Netherlands.

Background: Surgical management of cryptoglandular fistulas is a challenge because the consequences of anal surgery potentially include fecal incontinence and impaired quality of life.

Objective: To assess factors associated with fecal incontinence after surgery for simple and complex cryptoglandular fistulas and to determine the impact of incontinence on quality of life.

Design: The design is retrospective and cross-sectional. Read More

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http://ucpvalencia.es/wp-content/uploads/2015/04/Long_term_F
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http://dx.doi.org/10.1097/DCR.0000000000000352DOI Listing
May 2015
8 Reads

How the anal gland orifice could be found in anal abscess operations.

J Res Med Sci 2015 Jan;20(1):22-5

Department of Surgery, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: On an average 30-50% of patients who undergo incision and drainage (I and D) of anal abscess will develop recurrence or fistula formation. It is claimed that finding the internal orifice of anal abscess to distract the corresponding anal gland duct; will decline the rate of future anal fistula. Surgeons supporting I and D alone claim that finding the internal opening is hazardous. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4354060PMC
January 2015
11 Reads

Results from a novel modification to the ligation intersphincteric fistula tract.

Am J Surg 2015 May 16;209(5):793-8; discussion 798. Epub 2015 Feb 16.

Swedish Colon and Rectal Clinic, Swedish Medical Center, 1101 Madison, Seattle, WA 98410, USA.

Background: The ligation of intersphincteric fistula tract (LIFT) procedure for trans-sphincteric fistula-in-ano has been studied with variable success rates compared with initial reports. Failures occur mostly in the intersphincteric wound. Recently, we proposed a modification to LIFT, unroofing the fistula from internal opening to intersphincteric groove, ligating the fistula tract, but preserving the external sphincter. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2015.01.002DOI Listing
May 2015
52 Reads

Efficacy of lift (ligation of intersphincteric fistula tract) for complex and recurrent anal fistulas--a single-center experience and a review of the literature.

Pol Przegl Chir 2015 Feb 3;86(11):532-6. Epub 2015 Feb 3.

Unlabelled: Ligation of intersphincteric fistula tract in treatment of anal fistulas (LIFT) is being said to have satisfactory results in short and long follow up, with low risk of complications. This study was designed to evaluate the results in patients with complex and recurrent fistulas in comparison with simple transsphincteric anal fistulas. The aim of the study was to present a single-center experience in LIFT procedure in treatment of both simple and complex anal fistulas, including recurrent fistulas, in comparison with a review of current literature. Read More

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http://dx.doi.org/10.2478/pjs-2014-0094DOI Listing
February 2015
8 Reads

Complex anal fistula remains a challenge for colorectal surgeon.

Int J Colorectal Dis 2015 May 9;30(5):595-603. Epub 2015 Jan 9.

Department of Surgery, San Francesco Hospital, Via Mannironi, 08020, Nuoro, Italy,

Aim: Anal fistula is a common proctological problem to both patient and physician throughout surgical history. Several surgical and sphincter-sparing approaches have been described for the management of fistula-in-ano, aimed to minimize the recurrence and to preserve the continence. We aimed to systematically review the available studies relating to the surgical management of anal fistulas. Read More

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http://dx.doi.org/10.1007/s00384-014-2104-7DOI Listing
May 2015
8 Reads

[Surgical treatment of anal fistula].

Zhonghua Wei Chang Wai Ke Za Zhi 2014 Dec;17(12):1164-6

Department of General Surgery, The Eighth People's Hospital of Shenyang City, Shenyang 110024, China. zeng_xiandong1969.

Anal fistula is a common disease. It is also quite difficult to be solved without recurrence or damage to the anal sphincter. Several techniques have been described for the management of anal fistula, but there is no final conclusion of their application in the treatment. Read More

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December 2014
4 Reads

Early experience with the modificated approach of ligation of the intersphincteric fistula tract for high transsphincteric fistula.

World J Surg 2015 Apr;39(4):1059-65

Department of Colorectal Surgery, The First Affiliated Hospital, Zhejiang University, Hangzhou, China.

Background: Transsphincteric fistulotomy is associated with a variable degree of fecal incontinence. Ligation of the intersphincteric fistula tract (LIFT), a novel surgical procedure with the advantage of avoiding anal incontinence, has a variable success rate of 57-94%. We evaluated a modified approach from it. Read More

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http://dx.doi.org/10.1007/s00268-014-2888-1DOI Listing
April 2015
16 Reads

Management of complex anorectal fistulas with seton drainage plus partial fistulotomy and subsequent ligation of intersphincteric fistula tract (LIFT).

Authors:
B Schulze Y-H Ho

Tech Coloproctol 2015 Feb 18;19(2):89-95. Epub 2014 Nov 18.

The Townsville Hospital, Townsville, QLD, 4814, Australia,

Background: Ligation of intersphincteric fistula tract (LIFT) is a relatively new technique in the treatment of complex anorectal fistulas. As it spares the anal sphincter, rates of post-operative incontinence may be lower when compared to conventional treatment. To date, there have not been enough reports of long-term fistula recurrence rates. Read More

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http://link.springer.com/10.1007/s10151-014-1245-6
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http://dx.doi.org/10.1007/s10151-014-1245-6DOI Listing
February 2015
16 Reads

Outcomes after operations for anal fistula: results of a prospective, multicenter, regional study.

Dis Colon Rectum 2014 Nov;57(11):1304-8

1Department of Colon and Rectal Surgery, Lahey Hospital and Medical Center, Burlington, Massachusetts 2Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts 3Department of Surgery, University of Vermont College of Medicine, Burlington, Vermont 4Department of Surgery, Hartford Healthcare Medical Group, Farmington, Connecticut.

Background: There are various surgical techniques used treat anal fistulas. The adoption and success rates of newer techniques have not been clearly established.

Objective: The purpose of this study was to determine the healing rate after operations for anal fistulas in New England colorectal surgery practices. Read More

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http://dx.doi.org/10.1097/DCR.0000000000000216DOI Listing
November 2014
10 Reads

Sphincter-sparing techniques for fistulas-in-ano.

J Visc Surg 2015 Apr 3;152(2 Suppl):S31-6. Epub 2014 Oct 3.

Service de proctologie médico-chirurgicale, groupe hospitalier Paris Saint-Joseph, institut Léopold-Bellan, 185, rue Raymond-Losserand, 75014 Paris, France.

Anal fistulas require surgical treatment to cure the fistula. Fistulotomy is the treatment of choice because of its high success rate, but it also carries a risk of postoperative incontinence. Different methods have been proposed to overcome the need for dividing part or all of the sphincter, so-called "sphincter saving techniques" (SST), such as flap advancement, intrafistular injection of glue, or the insertion of a bio-prosthesis (collagen plug). Read More

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http://dx.doi.org/10.1016/j.jviscsurg.2014.08.002DOI Listing
April 2015
9 Reads

Treatment of anal fistula and abscess.

Authors:
F Pigot

J Visc Surg 2015 Apr 30;152(2 Suppl):S23-9. Epub 2014 Sep 30.

Service de proctologie, hôpital Bagatelle, rue Robespierre, 33400 Talence, France. Electronic address:

The glands of Hermann and Desfosses, located in the thickness of the anal canal, drain into the canal at the dentate line. Infection of these anal glands is responsible for the formation of abscesses and/or fistulas. When this presents as an abscess, emergency drainage of the infected cavity is required. Read More

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http://dx.doi.org/10.1016/j.jviscsurg.2014.07.008DOI Listing
April 2015
4 Reads

Staged seton fistulotomy after restorative proctocolectomy with ileal pouch-anal anastomosis accompanied by a decline in anal pressure during manometry.

Int J Colorectal Dis 2015 Mar 17;30(3):421-3. Epub 2014 Aug 17.

Department of Surgery, Yokoyama Hospital for Gastroenterological Diseases, 3-11-20 Chiyoda Naka-Ku, Nagoya City, Aichi Pref, 460-0012, Japan,

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http://dx.doi.org/10.1007/s00384-014-1989-5DOI Listing
March 2015
9 Reads