A 30 YEAR EXPERIENCE IN THE MANAGEMENT OF ANAL FISTULA

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

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
RivistaEuroMediterranean Biomedical Journal
Volume12
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.