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Combined partial fistulectomy and electro-cauterization of the intersphincteric tract as a sphincter-sparing treatment of complex anal fistula: clinical and functional outcome


, : Combined partial fistulectomy and electro-cauterization of the intersphincteric tract as a sphincter-sparing treatment of complex anal fistula: clinical and functional outcome. Techniques in Coloproctology 18(11): 1105-1111

The aim of this study was to report a simple, effective and safe procedure, associated with minimal risk of incontinence and recurrence, for treating complex anal fistulas. This was a prospective study of 53 consecutive patients with complex anal fistulas. The technique used included excision of the distal part of the fistula tract down to the external anal sphincter and electro-cauterization of the intersphincteric part of the tract with simple closure of the internal opening. Data collected included patient characteristics, fistula type determined by magnetic resonance imaging, pre- and postoperative continence status evaluated using the Wexner incontinence score (0-10), previous operations, hospital stay, healing time, recurrence rate and complications. The patients had a mean age of 41.37 ± 7.82 years; the most frequent fistula type was the high transsphincteric fistula; the mean follow-up period was 19 months with a success rate of 92.5 %; the mean wound healing time was 3.6 weeks; the incontinence scores were the same as before the procedure. The recurrence rate was 7.5 %. Partial fistulectomy combined with electrocauterization of the intersphincteric fistula tract is a simple, and effective procedure for the treatment of complex anal fistulas.

US$19.90

PMID: 25154751

DOI: 10.1007/s10151-014-1208-y


Other references

Zhuge, R.L., S.C.en, T.; Hsu, W., 1995: Alpha 2-adrenergic receptor-mediated Ca(2+) influx and release in porcine myometrial cells. We studied the mechanisms underlying alpha2-adrenergic receptor (AR)-mediated increase in intracellular free calcium ([Ca2+]i) in freshly dispersed myometrial cells from sows in the luteal phase of the estrous cycle. After the blockade of beta-ARs...

de C.; Rios, E.; Barcellos, LP., 1980: Nuevos hallazgos de moluscos marinos para el Archipielago de Abrolhos, Bahia. Comunicaciones de la Sociedad Malacologica del Uruguay, 5: 305-310 No. 39

Korzaya, L.I.; Lapin, B.A.; Keburiya, V.V.; Lazareva, I.Y., 2007: The detection rate of hepatitis E virus antibodies in the personnel serving the macaques of the Adler apery. There is evidence for the rather high detection rate of antibodies against hepatic E virus (HEV) was rather high in the macaques from the Adler apery in 1999-2005. Anti-HEV was detected in 232 (57.3%) out of 405 examined rhesus macaques (Macaca m...

Minganti, A.; D'anna, T., 1958: The chemical composition of Discoglossus pictus spawn jelly. An analysis of Discoglossus pictus spawn jelly gave the following average composition (in percent of the dry weight): proteins 54,4%; carbohydrates 26,9% (hexoses 8,7%; fucose 1,7%; hexosamines 16,5%); sulphate groups 1%. The hexoses are the follo...

Wein, A.J., 2000: Pharmacological agents for the treatment of urinary incontinence due to overactive bladder. Although the exact aetiology of overactive bladder is unknown to date, pharmacological therapy has been targeted to both the central and peripheral nervous systems. Potential CNS targets include GABA, opioid, serotonin (5-HT), dopamine and glutami...

Winter, G.D.; Simpson, B.J., 1969: Heterotopic bone formed in a synthetic sponge in the skin of young pigs. Nature 223(5201): 88-90

Zacny, J.P.; Stitzer, M.L.; Brown, F.J.; Yingling, J.E.; Griffiths, R.R., 1987: Human cigarette smoking: effects of puff and inhalation parameters on smoke exposure. This study determined effects of three smoking behavior components: puff volume, inhalation volume and lung exposure duration on biological measures of smoke exposure. A microcomputer-based auditory feedback system allowed subjects (N = 9 or 10 pe...

Stamp, N.E.; Yang, Y.; Bozer, S.F.; Osier, T.L.; Traugott, M.S., 1996: Effects of allelochemicals, temperature and prey scarcity on an insect predator. Bulletin of the Ecological Society of America 77(3 SUPPL PART 2): 420

Novak, A., 1981: Chemotherapy of anaerobic infections. Schweizerische Rundschau für Medizin Praxis 70(11): 445-451

Huber, S.; Casagrande, F.; Hug, M.N.; Wang, L.; Heine, P.; Kummer, L.; Plückthun, A.; Hennig, M., 2017: SPR-based fragment screening with neurotensin receptor 1 generates novel small molecule ligands. The neurotensin receptor 1 represents an important drug target involved in various diseases of the central nervous system. So far, the full exploitation of potential therapeutic activities has been compromised by the lack of compounds with favorab...