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

Risultato della ricerca: Article


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
RivistaEuroMediterranean Biomedical Journal
Stato di pubblicazionePublished - 2017

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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    Tomasello, G., Leone, A., Cappello, F., Gerges, A., Rizkallah, A., Assi, T. B., Zerbe, R., Youssef, L., Assi, T. B., Assi, T. B., Oueidat, D., & Jurjus, A. (2017). A 30 YEAR EXPERIENCE IN THE MANAGEMENT OF ANAL FISTULA. EuroMediterranean Biomedical Journal, 12, 184-188.