کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3319201 1211670 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Reoperative surgery for persistent anal fistulae
ترجمه فارسی عنوان
جراحی بازسازی جراحی برای فیستول مقعد مداوم
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
چکیده انگلیسی

Failure of treatment of a primary anal fistula is rarely life threatening, but the cost to the patient in terms of pain, discomfort, and interruption of daily life is substantial. Complex or recurrent fistulas must be methodically evaluated so a successful treatment strategy can be developed, and therapy completed, ideally without compromising fecal continence. Advanced imaging can be useful in identifying complex tracts and accumulated sepsis but is rarely indicated in the setting of a primary fistula. Multiple methods to repair complex, recurrent fistulas have been described with varying success rates. Diversion of the fecal stream is often employed after repeat repair of a fistula but is not universally beneficial. Treatment must be individualized according to pre-existing patient factors, number of internal openings, and condition of the tissues in and around the anus.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Colon and Rectal Surgery - Volume 26, Issue 4, December 2015, Pages 174–181
نویسندگان
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