Prospective clinical and manometric study of fistulotomy with primary sphincter reconstruction in the management of recurrent complex fistula-in-ano

Abstract

Fistulotomy with sphincter reconstruction seems to be an effective resource in the management of recurrent complex fistula-in-ano. It improves both anal continence and manometric values in incontinent patients without compromising them in fully continent ones.

Fistulotomy or fistulectomy and primary sphincteroplasty for anal fistula (FIPS): a systematic review

“…One hundred and seven records were excluded for various reasons; therefore, 17 full-text articles were assessed for eligibility. Fourteen reports satisfied the inclusion criteria [19,20,[28][29][30][31][32][33][34][35][36][37][38][39], while three studies were excluded because their results were updated in a more recent article [40][41][42] (Fig. 1).…”

Hemorrhoids and Fistulas: New Solutions to Old Problems

“…There are several small series in the literature of patients with high fistulas treated by completely laying open the fistula with division of internal and external sphincters, excision of accessory tracks, and repair with overlapping sphincteroplasty. 119,120 Preoperative continence disturbance was present in 30%-50% of patients; most of the patients showed improved continence scores postoperatively. However, 8%-25% of patients with no preoperative continence disturbance reported new continence alterations postoperatively.…”

Long-term Follow-up After Surgery for Simple and Complex Cryptoglandular Fistulas

“…22 fi was present in 8% of patients with sf and in 18% of those with Cf. 9,30 this study finds that fi is a debilitating problem that persists long after surgery to treat perianal fistula has been performed. Patients with Cf were predominantly treated using core-fistulectomy and closure of the internal opening, core-fistulectomy and sphincter reconstruction, or core-fistulectomy and mucosal advancement flap.…”