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Partial fistulectomy and fistular wall flap for the treatment of high perianal fistulas
Faculty
Medicine
Year:
2004
Type of Publication:
Article
Pages:
977-980
Authors:
Lasheen, AE
DOI:
10.1007/s00595-004-2843-0
Journal:
SURGERY TODAY SPRINGER
Volume:
34
Research Area:
Surgery
ISSN
ISI:000224889200019
Keywords :
partial fistulectomy, fistular wall, flap
Abstract:
Controversy surrounds the management of fistula in ano especially the high type. This study assesses the clinical results of a partial fistulectomy with a closure of the internal opening using a fistular wall flap for the management of high perianal fistulas. This technique was performed in 50 patients with this condition, with the aid of a fistulectomy tube. The clinical outcome was assessed in terms of continence and recurrence for a period of 22 months after operation. The technique is easy to perform, results in less morbidity, and provided successful healing in 49 patients. A recurrent fistula occurred in one patient. No continence disturbance was noted during the follow-up period. This technique is thus considered to be an effective method for managing high perianal fistulas since it was found to demonstrate good results in terms of recurrence and continence.
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