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Verfasst von:Proßt, Rüdiger Lothar [VerfasserIn]   i
 Joos, Andreas [VerfasserIn]   i
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

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