2010
DOI: 10.1002/14651858.cd006319.pub2
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Surgical intervention for anorectal fistula

Abstract: BACKGROUND: Surgery for anorectal fistula may result in recurrence, or impairment of continence. The ideal treatment for anorectal fistulae should be associated with low recurrence rates, minimal incontinence and good quality of life.OBJECTIVE: To assess the efficacy and morbidity of operative procedures for chronic anal fistula, primary outcomes being recurrence and incontinence. SELECTION CRITERIA: Randomised controlled trials comparing operative procedures for anorectal fistulae were considered. Non randomi… Show more

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Cited by 81 publications
(61 citation statements)
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“…The glues are applied to fill the fistula track and provide a bridge for fibroblasts and stromo‐vascular cell in‐growth to produce healing. Their ease of use, minimal risk to continence and repeatability make them an attractive option, especially in patients at high risk of sphincter dysfunction .…”
Section: Treatmentmentioning
confidence: 99%
“…The glues are applied to fill the fistula track and provide a bridge for fibroblasts and stromo‐vascular cell in‐growth to produce healing. Their ease of use, minimal risk to continence and repeatability make them an attractive option, especially in patients at high risk of sphincter dysfunction .…”
Section: Treatmentmentioning
confidence: 99%
“…For these patients, options include mucosal advancement flaps, ligation of the internal fistula tract, anal fistula plugs and an increasing number of novel techniques 2 4 9 10…”
Section: Discussionmentioning
confidence: 99%
“…If a fistula tract is identified during detailed clinical examination a variety of treatment options are available, although none is universally accepted or without risk. 18 A seton is a thread that is placed through the fistula track to form a continuous ring between the internal and external openings. In the acute setting a draining seton can be used to maintain patency of the track, allow drainage, and reduce inflammation and sepsis.…”
Section: Discussionmentioning
confidence: 99%