A new minimally invasive treatment for anal fistula
Rui Zhu, Lin Shen, Caoyuan Wang, Yanping Yang, Rui Chen, Hen Fang, Xiaojuan Xu
A new minimally invasive treatment for anal fistula
In colorectal surgery, eradicating the fistula and maintaining continence are still complex challenges for a colorectal surgeon. A minimally invasive method using a novel device was performed to consecutively treat 14 patients with anal fistula from August 2008 to November 2009. After a follow-up period of 36 months, 13 patients achieved successful closure of their fistula tracts, and recurrence occurred only in one patient. Recurrence was due to the delay of dressing change. No patient had interference with continence, and no major intra- and post-operative complications were identified. Using the novel device with invasive methods can be a promising alternative for managing anal fistulas.
anal fistula / surgery / device
[1] |
Schubert MC, Sridhar S, Schade RR, Wexner SD. What every gastroenterologist needs to know about common anorectal disorders. World J Gastroenterol2009; 15(26): 3201-3209
CrossRef
Pubmed
Google scholar
|
[2] |
Deeba S, Aziz O, Sains PS, Darzi A. Fistula-in-ano: advances in treatment. Am J Surg2008; 196(1): 95-99
CrossRef
Pubmed
Google scholar
|
[3] |
Williams JG, Farrands PA, Williams AB, Taylor BA, Lunniss PJ, Sagar PM, Varma JS, George BD. The treatment of anal fistula: ACPGBI position statement. Colorectal Dis2007; 9(Suppl 4): 18-50
CrossRef
Pubmed
Google scholar
|
[4] |
Cirocchi R, Farinella E, La Mura F, Cattorini L, Rossetti B, Milani D, Ricci P, Covarelli P, Coccetta M, Noya G, Sciannameo F. Fibrin glue in the treatment of anal fistula: a systematic review. Ann Surg Innov Res2009; 3(1): 12
CrossRef
Pubmed
Google scholar
|
[5] |
Chivate SD. Comment on Meinero and Mori: Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure to repair complex anal fistulas. Tech Coloproctol2012; 16(6): 465-466, discussion 467, author reply 469-470
CrossRef
Pubmed
Google scholar
|
[6] |
Vatansev C, Alabaz O, Tekin A, Aksoy F, Yilmaz H, Kücükkartallar T, Akcam T, Pamukcu A. A new seton type for the treatment of anal fistula. Dig Dis Sci2007; 52(8): 1920-1923
CrossRef
Pubmed
Google scholar
|
[7] |
van Onkelen RS, Gosselink MP, Schouten WR. Treatment of anal fistulas with high intersphincteric extension. Dis Colon Rectum2013; 56(8): 987-991
CrossRef
Pubmed
Google scholar
|
[8] |
Ellis CN. Bioprosthetic plugs for complex anal fistulas: an early experience. J Surg Educ2007; 64(1): 36-40
CrossRef
Pubmed
Google scholar
|
[9] |
Singer M, Cintron J, Nelson R, Orsay C, Bastawrous A, Pearl R, Sone J, Abcarian H. Treatment of fistulas-in-ano with fibrin sealant in combination with intra-adhesive antibiotics and/or surgical closure of the internal fistula opening. Dis Colon Rectum2005; 48(4): 799-808
CrossRef
Pubmed
Google scholar
|
[10] |
Zmora O, Mizrahi N, Rotholtz N, Pikarsky AJ, Weiss EG, Nogueras JJ, Wexner SD. Fibrin glue sealing in the treatment of perineal fistulas. Dis Colon Rectum2003; 46(5): 584-589
CrossRef
Pubmed
Google scholar
|
[11] |
Chung W, Kazemi P, Ko D, Sun C, Brown CJ, Raval M, Phang T. Anal fistula plug and fibrin glue versus conventional treatment in repair of complex anal fistulas. Am J Surg2009; 197(5): 604-608
CrossRef
Pubmed
Google scholar
|
[12] |
Marti L, Kruse C, Zadnikar M, Maurus C, Kim CH, Herold A. Surgical treatment of fistula-in-ano—a journey between Skylla and Charybdis. Ther Umsch2013; 70(7): 383-391 (in German)
CrossRef
Pubmed
Google scholar
|
[13] |
Beets-Tan RG, Beets GL, van der Hoop AG, Kessels AG, Vliegen RF, Baeten CG, van Engelshoven JM. Preoperative MR imaging of anal fistulas: Does it really help the surgeon? Radiology2001; 218(1): 75-84
CrossRef
Pubmed
Google scholar
|
[14] |
Leng Q, Jin HY. Anal fistula plug vs mucosa advancement flap in complex fistula-in-ano: a meta-analysis. World J Gastrointest Surg 2012, 27;4(11): 256-261
|
[15] |
Lehmann JP, Graf W. Efficacy of LIFT for recurrent anal fistula. Colorectal Dis2013; 15(5): 592-595
CrossRef
Pubmed
Google scholar
|
[16] |
Berman L, Israel GM, McCarthy SM, Weinreb JC, Longo WE. Utility of magnetic resonance imaging in anorectal disease. World J Gastroenterol2007; 13(23): 3153-3158
Pubmed
|
[17] |
Hussain SM, Stoker J, Schouten WR, Hop WC, Laméris JS. Fistula in ano: endoanal sonography versus endoanal MR imaging in classification. Radiology1996; 200(2): 475-481
CrossRef
Pubmed
Google scholar
|
[18] |
Halligan S, Stoker J. Imaging of fistula in ano. Radiology 2006; 239(1): 18-33
CrossRef
Pubmed
Google scholar
|
[19] |
Buchanan GN, Halligan S, Bartram CI, Williams AB, Tarroni D, Cohen CR. Clinical examination, endosonography, and MR imaging in preoperative assessment of fistula in ano: comparison with outcome-based reference standard. Radiology2004; 233(3): 674-681
CrossRef
Pubmed
Google scholar
|
[20] |
Beets-Tan RG, Beets GL, van der Hoop AG, Kessels AG, Vliegen RF, Baeten CG, van Engelshoven JM. Preoperative MR imaging of anal fistulas: Does it really help the surgeon? Radiology2001; 218(1): 75-84
CrossRef
Pubmed
Google scholar
|
[21] |
Buchanan GN, Halligan S, Williams AB, Cohen CR, Tarroni D, Phillips RK, Bartram CI. Magnetic resonance imaging for primary fistula in ano. Br J Surg2003; 90(7): 877-881
CrossRef
Pubmed
Google scholar
|
[22] |
van Koperen PJ, Bemelman WA, Bossuyt PM, Gerhards MF, Eijsbouts QA, van Tets WF, Janssen LW, Dijkstra FR, van Dalsen AD, Slors JF. The anal fistula plug versus the mucosal advancement flap for the treatment of anorectal fistula (PLUG trial). BMC Surg2008; 8(1): 11
CrossRef
Pubmed
Google scholar
|
[23] |
Gupta P. Anal fistulotomy by radiofrequency. J Nippon Med Sch2004; 71(4): 287-291
CrossRef
Pubmed
Google scholar
|
[24] |
Billingham RP, Isler JT, Kimmins MH, Nelson JM, Schweitzer J, Murphy MM. The diagnosis and management of common anorectal disorders. Curr Probl Surg2004; 41(7): 586-645
CrossRef
Pubmed
Google scholar
|
[25] |
Poon CM, Ng DC, Ho-Yin MC, Li RS, Leong HT. Recurrence pattern of fistula-in-ano in a Chinese population. J Gastrointestin Liver Dis2008; 17(1): 53-57
Pubmed
|
[26] |
Sygut A, Zajdel R, Kedzia-Budziewska R, Trzciński R, Dziki A. Late results of treatment of anal fistulas. Colorectal Dis2007; 9(2): 151-158
CrossRef
Pubmed
Google scholar
|
[27] |
Inceoglu R, Gencosmanoglu R. Fistulotomy and drainage of deep postanal space abscess in the treatment of posterior horseshoe fistula. BMC Surg2003; 3(1): 10
CrossRef
Pubmed
Google scholar
|
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