Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin

Surgical treatment of high perianal fistulas, which affect a significant proportion of the sphincter apparatus, is difficult and associatedwith considerable risk of impaired anal continence. The diversity of approaches proposed for the treatment of complexperianal fistulas reflects the fact that no...

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Autores principales:	Francisco Javier Perez Lara, Arminda Ferrer Berges, Jose Manuel Hernandez Gonzalez, Elena Sanchis Cardenas, Arturo del Rey Moreno, Horacio Oliva Munoz
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2016
Materias:	anal fistula sealant curettage platelet rich fibrin Medicine R
Acceso en línea:	https://doaj.org/article/29e37daa2a71442eb9b92448df17aef3
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spelling	oai:doaj.org-article:29e37daa2a71442eb9b92448df17aef32021-11-15T09:43:58ZMethod for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin2783-2430https://doaj.org/article/29e37daa2a71442eb9b92448df17aef32016-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47142_636d8690b4068590e47bd4fadf5c8661.pdfhttps://doaj.org/toc/2783-2430Surgical treatment of high perianal fistulas, which affect a significant proportion of the sphincter apparatus, is difficult and associatedwith considerable risk of impaired anal continence. The diversity of approaches proposed for the treatment of complexperianal fistulas reflects the fact that no method has yet been shown to be fully satisfactory. We believe the successful treatmentof this condition is directly proportional to the amount of fibrous tissue that can be removed. We used a kit of small curettes, ofdifferent thicknesses and sizes, incorporating spicules that enable the physician to remove fibrous tissue from the fistula tract. Thesmall size and varying thicknesses of the curettes enable them to mold to the curves of the fistula tract and to remove tissue byde-roofing from the shallowest to the deepest layers, thus excising the entire fibrous tract. The tract is then sealed using autologousfibrin, applied through a catheter, with the help of a monitor indicating the amount of product remaining at all times. Finally, theinternal orifice is closed by simple suturing.Francisco Javier Perez LaraArminda Ferrer BergesJose Manuel Hernandez GonzalezElena Sanchis CardenasArturo del Rey MorenoHoracio Oliva MunozShiraz University of Medical Sciencesarticleanal fistulasealantcurettageplatelet rich fibrinMedicineRENIranian Journal of Colorectal Research, Vol 4, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	anal fistula sealant curettage platelet rich fibrin Medicine R
spellingShingle	anal fistula sealant curettage platelet rich fibrin Medicine R Francisco Javier Perez Lara Arminda Ferrer Berges Jose Manuel Hernandez Gonzalez Elena Sanchis Cardenas Arturo del Rey Moreno Horacio Oliva Munoz Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin
description	Surgical treatment of high perianal fistulas, which affect a significant proportion of the sphincter apparatus, is difficult and associatedwith considerable risk of impaired anal continence. The diversity of approaches proposed for the treatment of complexperianal fistulas reflects the fact that no method has yet been shown to be fully satisfactory. We believe the successful treatmentof this condition is directly proportional to the amount of fibrous tissue that can be removed. We used a kit of small curettes, ofdifferent thicknesses and sizes, incorporating spicules that enable the physician to remove fibrous tissue from the fistula tract. Thesmall size and varying thicknesses of the curettes enable them to mold to the curves of the fistula tract and to remove tissue byde-roofing from the shallowest to the deepest layers, thus excising the entire fibrous tract. The tract is then sealed using autologousfibrin, applied through a catheter, with the help of a monitor indicating the amount of product remaining at all times. Finally, theinternal orifice is closed by simple suturing.
format	article
author	Francisco Javier Perez Lara Arminda Ferrer Berges Jose Manuel Hernandez Gonzalez Elena Sanchis Cardenas Arturo del Rey Moreno Horacio Oliva Munoz
author_facet	Francisco Javier Perez Lara Arminda Ferrer Berges Jose Manuel Hernandez Gonzalez Elena Sanchis Cardenas Arturo del Rey Moreno Horacio Oliva Munoz
author_sort	Francisco Javier Perez Lara
title	Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin
title_short	Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin
title_full	Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin
title_fullStr	Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin
title_full_unstemmed	Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin
title_sort	method for management of perianal fistula with new device: progressive curettage of the tract and sealing with platelet-rich fibrin
publisher	Shiraz University of Medical Sciences
publishDate	2016
url	https://doaj.org/article/29e37daa2a71442eb9b92448df17aef3
work_keys_str_mv	AT franciscojavierperezlara methodformanagementofperianalfistulawithnewdeviceprogressivecurettageofthetractandsealingwithplateletrichfibrin AT armindaferrerberges methodformanagementofperianalfistulawithnewdeviceprogressivecurettageofthetractandsealingwithplateletrichfibrin AT josemanuelhernandezgonzalez methodformanagementofperianalfistulawithnewdeviceprogressivecurettageofthetractandsealingwithplateletrichfibrin AT elenasanchiscardenas methodformanagementofperianalfistulawithnewdeviceprogressivecurettageofthetractandsealingwithplateletrichfibrin AT arturodelreymoreno methodformanagementofperianalfistulawithnewdeviceprogressivecurettageofthetractandsealingwithplateletrichfibrin AT horacioolivamunoz methodformanagementofperianalfistulawithnewdeviceprogressivecurettageofthetractandsealingwithplateletrichfibrin
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Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin

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