Role of video assisted anal fistula treatment in our management of fistula-in-ano

Autor:	Zdeněk Kala, Beáta Hemmelová, Radoslav Hrivnák, Tomáš Skřička, Oldřich Robek, Tomáš Grolich
Rok vydání:	2014
Předmět:	Anal fistula medicine.medical_specialty medicine.diagnostic_test business.industry Fistula Anoscopy General Medicine medicine.disease 3. Good health Surgery medicine.anatomical_structure Perianal fistula Etiology Medicine Sphincter Video assisted business
Zdroj:	Acta chirurgica Iugoslavica. 61:83-85
ISSN:	2406-0887 0354-950X
Popis:	Background: Video-assisted anal fistula treatment is a new method used for treatment of complex perianal fistula with maximal sparing of sphincter muscles and prevention of false route. Authors inform about their experience and operative results. Aims: Our aim was to verify feasibility of the method, help in internal opening identification and define its position in our management of perianal fistulas. Methods: Patients with chronic fistula-in-ano of IBD and non-IBD benign etiology were enrolled. Anoscopy with fistuloscopy was attempted in all patients followed by loose seton drainage or other procedure. Results: Fistuloscopy was attempted in 30 patients, finished in 93% and internal opening was found in 67%. No procedure-related morbidity was observed. Conclusion: Fistuloscopy alone is feasible for diagnosing type of IBD and non-IBD fistulas. VAAFT technique and instruments were helpful for identification of an internal opening in most cases. As such it has established role in our management of fistula-in-ano.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::7175ee69524a0cb7dfce11709f5268f9 https://doi.org/10.2298/aci1402083g Zobrazit plný text záznamu