2018
DOI: 10.1186/s12893-018-0430-3
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Abstract: BackgroundSurgical management of complex perianal fistula associated with pararectal cavities can be challenging. We hypothesised that healing of the pararectal cavities prior to healing of the fistula leads to a better outcome. We aimed to assess the efficacy of irrigation catheters in the healing of pararectal cavities associated with fistula-in-ano.MethodsThis study design was consistent with IDEAL stage 2a (development) and was conducted at the Professorial Surgical Unit, National Hospital of Sri Lanka, Co… Show more

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Cited by 4 publications
(4 citation statements)
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References 15 publications
(21 reference statements)
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“…Initial screening identified 62 of 136 records (45·6 per cent) for full‐text eligibility assessment. Finally, 48 relevant publications (42 study reports, 6 protocols) were included in the analysis 24–71 ( Fig . 1 ).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Initial screening identified 62 of 136 records (45·6 per cent) for full‐text eligibility assessment. Finally, 48 relevant publications (42 study reports, 6 protocols) were included in the analysis 24–71 ( Fig . 1 ).…”
Section: Resultsmentioning
confidence: 99%
“…Initial screening identified 62 of 136 records (45·6 per cent) for full‐text eligibility assessment. Finally, 48 relevant publications (42 study reports, 6 protocols) were included in the analysis 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 ( Fig . 1 ).…”
Section: Resultsmentioning
confidence: 99%
“…Fistula-in-ano with an underlying aetiology is challenging to manage and associated with high risk of recurrence. Repeated surgeries may lead to incontinence and reduced quality of life [7,8]. Flexible sigmoidoscopy is performed for a number of anorectal symptoms for confirmation of diagnosis and exclusion of other underlying causes.…”
Section: Discussionmentioning
confidence: 99%
“…Those with fistulae with sphincter involvement without associated large collection or pararectal cavities underwent staged seton fistulotomy (n = 78). Those with large cavities were tagged with a draining seton and the cavity was irrigated with an antiseptic solution using an irrigation catheter until the cavity had contracted before performing seton fistulotomy as the definitive procedure (n = 9) [10].…”
Section: Main Textmentioning
confidence: 99%