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Title of Journal: Tech Coloproctol

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Abbravation: Techniques in Coloproctology

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Springer Milan

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1128-045X

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Triple procedure for complex anal fistula

Authors: B K Jain P K Garg
Publish Date: 2014/10/31
Volume: 19, Issue: 1, Pages: 47-50
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Abstract

Laying open of a fistula tract fistulotomy is the surest way to achieve a lasting cure for anal fistula Complex anal fistulae CAF are not amenable to such a straightforward treatment When there are high fistula tracts involving a large part of the anal sphincters abscesses in high locations sublevator supralevator and deep postanal space and secondary/horseshoe tracts—a single procedure cannot be successful Each of these elements needs individual attention Though almost all the techniques—fibrin glue collagen plug fistulotomy seton placement ligation of intersphincteric fistula tract anocutaneous advancement flap mucosal advancement flap and videoassisted anal fistula treatment—have been used for management of CAF the reported outcome is far from satisfactory 1 We herein describe a ‘triple procedure’ consisting of i partial distal fistulotomy/fistulectomy ii laying open/drainage of deep seated abscesses and secondary/horseshoe tracts

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  2. Mucinous carcinoma of the rectum: a distinct clinicopathological entity
  3. Combined NOTES total mesorectal excision and single-incision laparoscopy principles for conservative proctectomy: a single-centre study
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  6. Screening for colorectal cancer using a quantitative immunochemical faecal occult blood test: a feasibility study in an Asian population
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  14. Biological tissue graft for pelvic floor reconstruction after cylindrical abdominoperineal excision of the rectum and anal canal
  15. Colonic carcinoma presenting as strangulated inguinal hernia: report of two cases and review of the literature
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  18. The Young Group of the Italian Society of Colorectal Surgery (You-SICCR)
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  24. Anal endosonography: a survey of equipment, technique and diagnostic criteria adopted in nine Italian centers
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