Status: Bibliographieeintrag
Standort: ---
Exemplare:
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| Online-Ressource |
Verfasst von: | Proßt, Rüdiger Lothar [VerfasserIn]  |
| Joos, Andreas [VerfasserIn]  |
Titel: | Short-term outcomes of a novel endoscopic clipping device for closure of the internal opening in 100 anorectal fistulas |
Verf.angabe: | R.L. Prosst, A.K. Joos |
E-Jahr: | 2016 |
Jahr: | 26 September 2016 |
Umfang: | 6 S. |
Fussnoten: | Gesehen am 20.11.2019 |
Titel Quelle: | Enthalten in: Techniques in coloproctology |
Ort Quelle: | Milano : Springer Italia, 1999 |
Jahr Quelle: | 2016 |
Band/Heft Quelle: | 20(2016), 11, Seite 753-758 |
ISSN Quelle: | 1128-045X |
Abstract: | BackgroundOne hundred consecutive applications of a new clipping device, the OTSC® Proctology (Ovesco Endoscopy AG), were analyzed to assess its efficacy for the treatment of complex anorectal fistulas.MethodsIn patients with anorectal fistulas, minimally invasive surgery with the OTSC® Proctology system was performed according to a standardized technique: the fistula tract was debrided using a special fistula brush, and the clip was applied on the internal fistula opening. In some of the patients, postoperative pain was evaluated using a visual analog scale. After 6 months, the postoperative clinical course and the fistula healing were assessed.ResultsA total of 100 OTSC® Proctology procedures were performed in 96 patients with 55 transsphincteric, 38 suprasphincteric, 2 extrasphincteric, and 5 rectovaginal fistulas. In all but 11 fistulas (8 Crohn’s disease, 3 ulcerative colitis), the fistulas were of cryptoglandular origin. The median operation time was 32 min (range 17-66 min). There were no major intraoperative technical problems. All patients found the postoperative pain to be tolerable with standard pain medication. The short-term results of 99 clip applications were analyzed: the healing rate for first-line fistula therapy was 79 %, whereas in recurrent fistulas, the success rate was 26 %. OTSC® Proctology was successful in 45 % of fistulas associated with inflammatory bowel disease and in 20 % of rectovaginal fistulas.ConclusionsOTSC® Proctology provides convincing results as first-line treatment for complex cryptoglandular fistulas. It is a safe, effective, minimally invasive, and sphincter-sparing procedure with postoperative pain comparable to other types of fistula surgery. |
DOI: | doi:10.1007/s10151-016-1537-0 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1007/s10151-016-1537-0 |
| DOI: https://doi.org/10.1007/s10151-016-1537-0 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | Anorectal |
| Clip |
| Fistula |
| Nitinol |
| OTSC® Proctology |
K10plus-PPN: | 1682259188 |
Verknüpfungen: | → Zeitschrift |
Short-term outcomes of a novel endoscopic clipping device for closure of the internal opening in 100 anorectal fistulas / Proßt, Rüdiger Lothar [VerfasserIn]; 26 September 2016 (Online-Ressource)
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