کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3315769 1211486 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Sphincter-sparing techniques for fistulas-in-ano
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
پیش نمایش صفحه اول مقاله
Sphincter-sparing techniques for fistulas-in-ano
چکیده انگلیسی

SummaryAnal fistulas require surgical treatment to cure the fistula. Fistulotomy is the treatment of choice because of its high success rate, but it also carries a risk of postoperative incontinence. Different methods have been proposed to overcome the need for dividing part or all of the sphincter, so-called “sphincter saving techniques” (SST), such as flap advancement, intrafistular injection of glue, or the insertion of a bio-prosthesis (collagen plug). However, the success rate of SSTs is lower than that of fistulotomy. Ligation of the Intersphincteric Fistula Tract (LIFT) is one of the most recent SSTs. It aims to ligate and transect the fistula by an approach through the intersphincteric space. The methodological quality of most published studies has been only average, but several studies have reported attractive success rates of 70 to 95% without postoperative incontinence. Other techniques such as endo-anal clip or injection of autologous stem cells are still anecdotal.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Visceral Surgery - Volume 152, Issue 2, Supplement, April 2015, Pages S31–S36
نویسندگان
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