Surgical management of anal fistulae: a systematic review

Malik, Ali Irqam; Nelson, Richard L.

doi:10.1111/j.1463-1318.2008.01483.x

Cited by 145 publications

(106 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Majority of the patients had low anal fistulae followed by patients with high anal fistulae and anorectal fistulae in that order. 8,9 Time taken for surgery in minutes, was assessed for both the groups and it was expressed as Mean±Standard deviation. We noticed that VAAFT required just half of the time required for conventional fistulectomy.…”

Section: Resultsmentioning

confidence: 99%

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

Venkatapuram

Sateesh

2017

Int Surg J

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

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

Venkatapuram

Sateesh

2017

Int Surg J

View full text Add to dashboard Cite

show abstract

“…De outra forma, a utilização rotineira de adesivos de fibrina no tratamento de fístulas anais ainda mostra resultados desanimadores e carece de maiores estudos 18 .…”

Section: Adesivos De Fibrinaunclassified

Uso de adesivos teciduais em cirurgia digestiva

Soares-Junior

Gomes

Peixoto

et al. 2010

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

DESCRITORESAdesivo. Trato gastrointestinal. Anastomose cirúrgica. Fístula.RESUMO -Introdução: Apesar dos refinamentos em cirurgia gastrointestinal, vazamentos anastomóticos persistem como grave problema, associados à morbidade e mortalidade elevadas e constituem a complicação mais temida. Na tentativa de prevenir e reduzir estas complicações, diversidade de técnicas de reforço anastomótico tem sido investigada e diversas medidas auxiliares têm sido desenvolvidas. Objetivo -Revisar os dados associados a aplicação de adesivos em cirurgia digestiva. Método -Revisão bibliográfica de artigos disponíveis no Medline/Pubmed utilizando-se os descritores: adesivo, trato gastrointestinal, anastomose cirúrgica e fístula. Foram selecionados os artigos mais atualizados sobre o assunto os quais utilizaram adesivos como estratégia para reduzir a morbidade e mortalidade relacionada à cirurgia digestiva. Conclusão -Adesivos teciduais parecem seguros na prática clínica e têm sido utilizados com crescente frequência em várias especialidades cirúrgicas em decorrência de suas propriedades hemostáticas e selante, ganhando cada vez maior aceitação por parte dos cirurgiões. Estudos sugerem que adesivos cirúrgicos podem reforçar e melhorar a cicatrização de anastomoses intestinais, elevando a pressão de ruptura e aumentando a força tênsil. Os potenciais efeitos deletérios teciduais destas substâncias podem limitar sua utilização. Em decorrência da heterogeneidade dos estudos e falta de evidência forte, novas pesquisas deverão ser desenvolvidas.ABSTRACT -Background -Despite refinements in the field of gastrointestinal surgery, anastomotic leakage still remains a serious problem associated with substantial morbidity and mortality and is the fearest life threatening complication in digestive surgery. To prevent or reduce these complications, a diversity of line reinforcement techniques have been investigated and several adjunctive measures have been developed. Aim -To review the data associated with the application of adhesives in digestive surgery procedures. Method -Review of papers available at Medline/Pubmed database using the follow headings: adhesive, gastrointestinal tract, surgical anastomosis, fistula. It was chosen recent articles on the subject which showed adhesives as strategy to reduce morbidity and mortality related to digestive surgery. Conclusion -Tissue adhesives appears to be safe in the clinical setting and are been used with increasing frequency in a variety of surgical field for its unique hemostatic and adhesive abilities, gaining increasing acceptance among surgeons. Studies suggest that surgical adhesive can be useful to reinforce and improve intestinal anastomotic healing, increase anastomotic bursting pressures and tensile strength. The potentially harmful tissue effects of the preparations might compromise the use of these substances. Because of the heterogeneity and lack of high level evidence, new studies have to be performed. ABCDDV/726 INTRODUÇÃOA busca por uma anastomose impermeável tem sido fato constante ...

show abstract

“…Although traditional therapeutic options, such as fistulectomy, thread-drawing therapy, fibrin glue application etc., were used for the management of anal fistula with good healing rates, the clinical efficacy of these operations was not entirely satisfactory primarily due to long healing time, large size wounds and impaired anal function which seriously affect life quality of patients [2,3]. Moreover, high recurrence rate and high incontinence rate followed by the above operations are still enormous challenges, even for experienced anorectal surgeons [4,5].…”

Section: Introductionmentioning

confidence: 99%

Clinical efficacy of anal fistula plug treatment regimens in anal fistula patients

Fang¹,

Miao²,

Hu³

et al. 2018

biomedicalresearch

View full text Add to dashboard Cite

Aim: Anal Fistula Plug (AFP) is considered as a new promising technique in treating anal fistula patients, mainly due to it could maintain the integrity of patients' integrity and decrease patients' discomfort with a simple operation. It also is beneficial to the following surgical options if needed. However, the underlying clinical efficacy is still unknown. Herein, we aimed to investigate the clinical efficacy of AFP in anal fistula patients by a retrospective analysis. Methods: We collected 52 anal fistula patients from the 2 nd affiliated hospital of Wenzhou Medical University and the hospital of traditional Chinese and Western medicine in Wenzhou between August 2012 and July 2016. Among them, 25 patients were treated with AFP, while 27 patients were treated with incision-thread-drawing. After treatments, all patients were evaluated by analyzing the differences on postoperative pain, cure rates, healing time, scar area and anal sphincter function at the subsequent follow-up. Results: The results showed that there were significant differences on postoperative pain between the two groups (P<0.001). Further, the healing time in patients with AFP treatment was remarkably lower than those with incision-thread-drawing treatment (P<0.05), whereas the anal scar area and the functional score of anal sphincterin patients with AFP treatment was markedly higher than those with incision-thread-drawing treatment (P<0.001). Nevertheless, the cure rates were not obviously different between the two groups. Conclusions: Taken together, these data suggested that AFP procedure could notably alleviate postoperative pain, shorten healing time, and retain anal sphincter function as compared to incisionthread-drawing procedure.

show abstract

Surgical management of anal fistulae: a systematic review

Cited by 145 publications

References 24 publications

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

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

Uso de adesivos teciduais em cirurgia digestiva

Clinical efficacy of anal fistula plug treatment regimens in anal fistula patients

Contact Info

Product

Resources

About