Short-term efficacy and safety of three novel sphincter-sparing techniques for anal fistulae: a systematic review

Abstract

All three techniques appear to be safe and feasible options in the management of anal fistulae, and short-term healing rates are acceptable with no sustained effect on continence. There is, however, a paucity of robust data with long-term outcomes. These techniques are thus welcome additions; however, their long-term place in the colorectal surgeon's armamentarium, whether diagnostic or therapeutic, remains uncertain.

Closure of Fistula Tract With Filac™ Laser As a Sphincter Preserving Method in Anal Fistula Treatment

“…13 Hiçbiri, fistül tedavisinde altın standart cerrahi yaklaşım olarak evrensel olarak kabul edilmemiştir.…”

Innovative Use of Endotracheal Tube to Find Out Internal Opening in Fistula in Ano

“…But in the present case because of highly situated internal opening, even the infant feeding tube was not able to come through the anal opening; instead, it was directed up and we also failed to bring it down even with the help of the inserted index finger per anally. A newer technique to find out the site of the internal opening is video-assisted anal fistula treatment (VAAFT) which is diagnostic as well as therapeutic especially in complex Crohn's perianal fistula [15][16][17]. A recent meta-analysis on VAAFT showed that mean operative time was 42 ± 14.2 min, that the internal opening was identified in 85.7% of patients and that recurrence occurred in 14.2% patients after a median follow-up of 9 months [18].…”

Robotic‐assisted subtotal colectomy for synchronous colon cancers in a patient with indeterminate colitis – a video vignette

“…Dear Sir, Haemorrhoidal disease is the most widespread and ancient proctological disorder [1] and its ideal treatment should be painless, safe, effective and incur minimal cost [2], leading to an early recovery. Patients with Grade III-IV haemorrhoidal prolapse or having failed conservative and outpatient treatments can be considered for excisional haemorrhoidectomy.…”

“…Lay open fistulotomy can result in a success rate of up to 100% but this is at the expense of continence, especially in complex fistulas [1]. Recently, several sphinctersaving surgical procedures have been advocated for the treatments of FIA, with acceptable results [2,3]; however, the optimal treatment option continues to be debated. One of these techniques is ligation of the intersphincteric fistula tract (LIFT) that was described by Rojanasakul [4]; it had an initial healing rate of 94.4%.…”