Coring‐out fistulectomy with a newly designed ‘fistulectome’ for complicated perianal fistulae: a retrospective clinical analysis

Abstract

The results of this series suggest that coring-out of a fistula using a fistulectome may be a valid treatment for complicated anal fistula.

Predictive factors for recurrence of cryptoglandular fistulae characterized by preoperative three‐dimensional endoanal ultrasound

“…Another option for patients with a high fistula is complete excision, but in the current study the fistula recurred in 61% of patients, which is high compared with reported rates of 12–41% . The three patients whose internal opening could not be identified during EUA all recurred after fistulectomy.…”

Fistulotomy for the Surgical Treatment of Perianal Fistula of Cryptoglandular Origin

“…Several interventional methods are in use for the surgical treatment of CPF, including fistulotomy [1618], insertion of cutting "seton" [1921] or loose "seton" [2123], core fistulectomy [24], ligation of the intersphincteric fistulous track (LIFT) [25], rectal advancement flap [2630], injection of fibrin glue at the fistulous track [23,31,32], insertion of fistulous plug [33,34], and obliteration of the fistulous track with the use of Laser [3537]. In clinical practice a combination E. Xynos of the aforementioned methods can be used, in particular for the complex-high or recurrent fistulae.…”