Fistulectomy with primary sphincter reconstruction

• Verfasst von: Seyfried, Steffen [VerfasserIn]
• Verfasst von: Bussen, Dieter G. [VerfasserIn]
• Verfasst von: Joos, Andreas [VerfasserIn]
• Verfasst von: Galata, Christian [VerfasserIn]
• Verfasst von: Weiß, Christel [VerfasserIn]
• Verfasst von: Herold, Alexander [VerfasserIn]
• Titel: Fistulectomy with primary sphincter reconstruction
• Verf.angabe: Steffen Seyfried, Dieter Bussen, Andreas Joos, Christian Galata, Christel Weiss, Alexander Herold
• E-Jahr: 2018
• Jahr: 12 April 2018
• Umfang: 8 S.
• Fussnoten: Gesehen am 03.12.2020
• Titel Quelle: Enthalten in: International journal of colorectal disease
• Ort Quelle: Berlin : Springer, 1986
• Jahr Quelle: 2018
• Band/Heft Quelle: 33(2018), 7, Seite 911-918
• ISSN Quelle: 1432-1262
• DOI: doi:10.1007/s00384-018-3042-6
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1741854385

Abstract

Despite modern medical techniques, anatomically proximal (high) anal fistulas are still a challenge in colorectal surgery. In previous years, the standard of care was complete fistulectomy with a high rate of continence disorders. Over the past 20 to 30 years, sphincter-saving procedures have gained wide acceptance. They represent the technique used in these cases. Additionally, many patients received indefinite treatment, namely the placement of a seton to maintain surgical drainage. The main problem with all fistula surgical possibilities is the high recurrence rate of 30 to 50% in flap procedures and 100% persistence in seton treatments. In recent years, a direct repair (primary reconstruction) in distal fistulas was instigated and shows excellent results. It allowed our technique for proximal (high) anal fistulas to evolve.