Practice Parameters for the Management of Perianal Abscess and Fistula-in-Ano

Steele, Scott R.; Kumar, Ravin; Feingold, Daniel L.; Rafferty, Janice; Buie, W. Donald

doi:10.1097/dcr.0b013e31823122b3

Cited by 266 publications

(179 citation statements)

References 118 publications

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“…3 cases undergoing fistulectomy, developed complications, in which two of them had postoperative bleeding which was controlled by anal packing and one of them had perianal infection needing additional antibiotics and slough excision. 14,15 There were no complications in patients who underwent VAAFT. When patients were followed up, there was recurrence of disease in 20% of people operated by fistulectomy, whereas there was no recurrence in group who underwent VAAFT.…”

Section: Resultsmentioning

confidence: 99%

VAAFT versus fistulectomy in the management of anorectal fistulae: a comparative study?

Venkatapuram

Sateesh

2017

Int Surg J

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Background: Among the perianal diseases Fistula in ano is a very common condition bringing lot of discomfort to the patient with a high rate of recurrence as well. Conventionally fistulectomy has been the treatment of choice for fistula-in-ano. But the procedure is associated with lot of recurrence, morbidity and sphincter incontinence. Among several recent procedures VAAFT-video assisted anal fistula treatment is gaining popularity. So, we conducted this study to know the effectiveness of VAAFT over conventional fistulectomy. Methods: This prospective comparative study was undertaken to compare VAAFT and fistulectomy in the management of fistula-in-ano. A one-year study was carried out on 50 patients from mid-2015 to 2016. A visual analogue scale (VAS) was used to assess pain in the postoperative period. All patients were observed for one-year period for any recurrence of disease. Results were statistically analysed by SPSS 15.0 software. Results: two groups were formed among the 50 patients selected for study. There was male preponderance in both the groups. majority of patients belonged to 31-40 years of age group. Majority of the patients had low anal fistulae followed by patients with high anal fistulae and anorectal fistulae in that order. There was recurrence of disease in 12% of people operated by fistulectomy whereas it was only 1% in group who underwent VAAFT. Conclusions: VAAFT procedure offered significantly less recurrence rates in comparison with fistulectomy. There was less postoperative pain and nil complications after surgery. Patient satisfaction was high. Our study concluded VAAFT as a safe and effective procedure alternative to conventional fistulectomy.

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Section: Resultsmentioning

confidence: 99%

VAAFT versus fistulectomy in the management of anorectal fistulae: a comparative study?

Venkatapuram

Sateesh

2017

Int Surg J

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“…Nevertheless the operative therapy is limited in complex fistulas. In these rare cases fistulotomy is not recommended, because of high risk of anal incontinence [10]. Additionally to the surgery an immunosuppressive therapy with anti-TNF-alpha antibody should be installed.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of a Complex System of Fistulas in Crohns Disease

Gloor¹

2016

J Hepatol Gastroint Dis

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Fistulas in Crohn's disease are a common problem in treatment of the disease. Especially perianal fistulas may cause a loss in patient's quality of life. They are coincident with an unfavourable development of Crohn's disease. Because of the frequent young patient's age, they come along with a long life of suffering and high cost for treatment. Therefore a good clinical diagnostic and a balance between drug therapy and surgery is needed. In this report, we present the case of a 28-year old male patient with a complex system of fistula in Crohn's disease. Based on clinical and radiological findings we performed operative treatment in combination to immunosuppressive therapy as an interdisciplinary collaboration.

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“…Weitere Sonderformen stellen Abszesse durch Fremdkörperingestion [23,26] arbeitete Fassung der Leitlinie aus dem Jahr 2011 [81,85] dar. Berücksichtigung fanden die Leitlinien anderer Fachgesellschaften (American Society of Colon and Rectal Surgeons [107,124]), Italienische Gesellschaft für Kolorektale Chirurgie (SIC-CR; [7]), vorliegende Reviews [92,95] und eine Cochrane-Analyse [71]. Diese wurden im Rahmen der PubMed-Analyse erfasst, aber nicht als bindend angesehen.…”

Section: Einleitung Und Definitionunclassified