New Techniques in Anal Fistula Management

Context: The management of complicated anal fistula is a serious issue in coloproctology. Various methods have been described but the choice must be made based on the course of the fistula tract in relation to the sphincter. As anal fistulas are caused by anal gland infection, the anal gland and duc...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Rasoul Azizi, Saman Mohammadipour
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2014
Materias:	anal fistula rectal fistula fecal incontinence anal sphincter Medicine R
Acceso en línea:	https://doaj.org/article/a6524d25c2ba4020a2c9fc22920e8961
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a6524d25c2ba4020a2c9fc22920e8961
record_format	dspace
spelling	oai:doaj.org-article:a6524d25c2ba4020a2c9fc22920e89612021-11-14T07:57:09ZNew Techniques in Anal Fistula Management2783-2430https://doaj.org/article/a6524d25c2ba4020a2c9fc22920e89612014-03-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45851_957e093e15b8e93eef341065b0b440ea.pdfhttps://doaj.org/toc/2783-2430Context: The management of complicated anal fistula is a serious issue in coloproctology. Various methods have been described but the choice must be made based on the course of the fistula tract in relation to the sphincter. As anal fistulas are caused by anal gland infection, the anal gland and ducts should be removed for the process of healing to begin and for the anal sphincter preservation. The aim of this study is to briefly explain and assess three new sphincter preserving surgical treatments, including fibrin glue and anal plug techniques and the procedure of ligation of intersphincteric fistula tract (LIFT) and also to evaluate the failure and success rates of these techniques.Evidence Acquisition: We conducted a search in the literature of the last decade, in the PubMed database, using the keywords: anal Fistula, LIFT procedure, fibrin glue and anal plug.Results: Using anal fistula plug provides another option for the treatment of complex anal fistulas and does appear to be an effective technique in some cases. The technique of intersphincteric fistula tract ligation as a fistula treatment surgery, aims for total anal sphincter preservation and appears to be both safe and easy to perform, with encouraging early outcomes. The authors suggest further controlled studies comparing the LIFT procedure with standard therapies.Conclusions: Fibrin sealant injection should be in the armamentarium of the specialists' surgical treatments for fistula-in-ano. The surgeons and their patient should be aware of the limited success expectations, when using fibrin glue technique as the treatment.Rasoul AziziSaman MohammadipourShiraz University of Medical Sciencesarticleanal fistularectal fistulafecal incontinenceanal sphincterMedicineRENIranian Journal of Colorectal Research, Vol 2, Iss 1, Pp 1-7 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	anal fistula rectal fistula fecal incontinence anal sphincter Medicine R
spellingShingle	anal fistula rectal fistula fecal incontinence anal sphincter Medicine R Rasoul Azizi Saman Mohammadipour New Techniques in Anal Fistula Management
description	Context: The management of complicated anal fistula is a serious issue in coloproctology. Various methods have been described but the choice must be made based on the course of the fistula tract in relation to the sphincter. As anal fistulas are caused by anal gland infection, the anal gland and ducts should be removed for the process of healing to begin and for the anal sphincter preservation. The aim of this study is to briefly explain and assess three new sphincter preserving surgical treatments, including fibrin glue and anal plug techniques and the procedure of ligation of intersphincteric fistula tract (LIFT) and also to evaluate the failure and success rates of these techniques.Evidence Acquisition: We conducted a search in the literature of the last decade, in the PubMed database, using the keywords: anal Fistula, LIFT procedure, fibrin glue and anal plug.Results: Using anal fistula plug provides another option for the treatment of complex anal fistulas and does appear to be an effective technique in some cases. The technique of intersphincteric fistula tract ligation as a fistula treatment surgery, aims for total anal sphincter preservation and appears to be both safe and easy to perform, with encouraging early outcomes. The authors suggest further controlled studies comparing the LIFT procedure with standard therapies.Conclusions: Fibrin sealant injection should be in the armamentarium of the specialists' surgical treatments for fistula-in-ano. The surgeons and their patient should be aware of the limited success expectations, when using fibrin glue technique as the treatment.
format	article
author	Rasoul Azizi Saman Mohammadipour
author_facet	Rasoul Azizi Saman Mohammadipour
author_sort	Rasoul Azizi
title	New Techniques in Anal Fistula Management
title_short	New Techniques in Anal Fistula Management
title_full	New Techniques in Anal Fistula Management
title_fullStr	New Techniques in Anal Fistula Management
title_full_unstemmed	New Techniques in Anal Fistula Management
title_sort	new techniques in anal fistula management
publisher	Shiraz University of Medical Sciences
publishDate	2014
url	https://doaj.org/article/a6524d25c2ba4020a2c9fc22920e8961
work_keys_str_mv	AT rasoulazizi newtechniquesinanalfistulamanagement AT samanmohammadipour newtechniquesinanalfistulamanagement
_version_	1718429796537466880

New Techniques in Anal Fistula Management

Ejemplares similares