A 30 YEAR EXPERIENCE IN THE MANAGEMENT OF ANAL FISTULA

Francesco Cappello, Angelo Leone, Giovanni Tomasello, Alice Gerges, Alain Rizkallah, Tarek Bou Assi, Raymond Zerbe, Lara Youssef, Doureid Oueidat, Abdo Jurjus

Risultato della ricerca: Article

Abstract

Anal fistula has been recognized for centuries, and yet, its treatment remains a challenge for surgeons till today. in this study, a 30 year experience of treating anal fistula is being reported and discussed in light of the various recognized management methods. A total of 320 patients were treated by fistulotomy, fistilectomy, fistula plugging, or seton technique. Data showed that fistula plugging carried the highest failure rate (89%) seconded by fistulectomy (37%), seton procedure (24,5%) and fistulotomy (15,6%). High transphincteric fistulas were more likely to predict failure compared to low transphinteric; intersphinteric and subcutaneous fistulas (37,5% versus 9,5 %, 7,3% and 0% respectively). In clnclusion the scales seem to support fistulotomy. However, no standardized algorithm exist to guide the care of patients and the choice of operation is based on patient-related factors, the patient's surgical hispory and the surgeon's experience and familiarity with the various techniques for treating anal fistula.
Lingua originaleEnglish
pagine (da-a)184-188
Numero di pagine5
RivistaDefault journal
Volume12
Stato di pubblicazionePublished - 2017

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Rectal Fistula
Fistula
Patient Care
Surgeons

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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A 30 YEAR EXPERIENCE IN THE MANAGEMENT OF ANAL FISTULA. / Cappello, Francesco; Leone, Angelo; Tomasello, Giovanni; Gerges, Alice; Rizkallah, Alain; Assi, Tarek Bou; Zerbe, Raymond; Youssef, Lara; Oueidat, Doureid; Jurjus, Abdo.

In: Default journal, Vol. 12, 2017, pag. 184-188.

Risultato della ricerca: Article

Cappello, F, Leone, A, Tomasello, G, Gerges, A, Rizkallah, A, Assi, TB, Zerbe, R, Youssef, L, Oueidat, D & Jurjus, A 2017, 'A 30 YEAR EXPERIENCE IN THE MANAGEMENT OF ANAL FISTULA', Default journal, vol. 12, pagg. 184-188.
Cappello, Francesco ; Leone, Angelo ; Tomasello, Giovanni ; Gerges, Alice ; Rizkallah, Alain ; Assi, Tarek Bou ; Zerbe, Raymond ; Youssef, Lara ; Oueidat, Doureid ; Jurjus, Abdo. / A 30 YEAR EXPERIENCE IN THE MANAGEMENT OF ANAL FISTULA. In: Default journal. 2017 ; Vol. 12. pagg. 184-188.
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abstract = "Anal fistula has been recognized for centuries, and yet, its treatment remains a challenge for surgeons till today. in this study, a 30 year experience of treating anal fistula is being reported and discussed in light of the various recognized management methods. A total of 320 patients were treated by fistulotomy, fistilectomy, fistula plugging, or seton technique. Data showed that fistula plugging carried the highest failure rate (89{\%}) seconded by fistulectomy (37{\%}), seton procedure (24,5{\%}) and fistulotomy (15,6{\%}). High transphincteric fistulas were more likely to predict failure compared to low transphinteric; intersphinteric and subcutaneous fistulas (37,5{\%} versus 9,5 {\%}, 7,3{\%} and 0{\%} respectively). In clnclusion the scales seem to support fistulotomy. However, no standardized algorithm exist to guide the care of patients and the choice of operation is based on patient-related factors, the patient's surgical hispory and the surgeon's experience and familiarity with the various techniques for treating anal fistula.",
author = "Francesco Cappello and Angelo Leone and Giovanni Tomasello and Alice Gerges and Alain Rizkallah and Assi, {Tarek Bou} and Raymond Zerbe and Lara Youssef and Doureid Oueidat and Abdo Jurjus",
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AU - Cappello, Francesco

AU - Leone, Angelo

AU - Tomasello, Giovanni

AU - Gerges, Alice

AU - Rizkallah, Alain

AU - Assi, Tarek Bou

AU - Zerbe, Raymond

AU - Youssef, Lara

AU - Oueidat, Doureid

AU - Jurjus, Abdo

PY - 2017

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N2 - Anal fistula has been recognized for centuries, and yet, its treatment remains a challenge for surgeons till today. in this study, a 30 year experience of treating anal fistula is being reported and discussed in light of the various recognized management methods. A total of 320 patients were treated by fistulotomy, fistilectomy, fistula plugging, or seton technique. Data showed that fistula plugging carried the highest failure rate (89%) seconded by fistulectomy (37%), seton procedure (24,5%) and fistulotomy (15,6%). High transphincteric fistulas were more likely to predict failure compared to low transphinteric; intersphinteric and subcutaneous fistulas (37,5% versus 9,5 %, 7,3% and 0% respectively). In clnclusion the scales seem to support fistulotomy. However, no standardized algorithm exist to guide the care of patients and the choice of operation is based on patient-related factors, the patient's surgical hispory and the surgeon's experience and familiarity with the various techniques for treating anal fistula.

AB - Anal fistula has been recognized for centuries, and yet, its treatment remains a challenge for surgeons till today. in this study, a 30 year experience of treating anal fistula is being reported and discussed in light of the various recognized management methods. A total of 320 patients were treated by fistulotomy, fistilectomy, fistula plugging, or seton technique. Data showed that fistula plugging carried the highest failure rate (89%) seconded by fistulectomy (37%), seton procedure (24,5%) and fistulotomy (15,6%). High transphincteric fistulas were more likely to predict failure compared to low transphinteric; intersphinteric and subcutaneous fistulas (37,5% versus 9,5 %, 7,3% and 0% respectively). In clnclusion the scales seem to support fistulotomy. However, no standardized algorithm exist to guide the care of patients and the choice of operation is based on patient-related factors, the patient's surgical hispory and the surgeon's experience and familiarity with the various techniques for treating anal fistula.

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