Abstract
In colorectal surgery, eradicating the fistula and maintaining continence are still complex challenges for a colorectal surgeon. A minimally invasive method using a novel device was performed to consecutively treat 14 patients with anal fistula from August 2008 to November 2009. After a follow-up period of 36 months, 13 patients achieved successful closure of their fistula tracts, and recurrence occurred only in one patient. Recurrence was due to the delay of dressing change. No patient had interference with continence, and no major intra- and postoperative complications were identified. Using the novel device with invasive methods can be a promising alternative for managing anal fistulas.
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Schubert MC, Sridhar S, Schade RR, Wexner SD. What every gastroenterologist needs to know about common anorectal disorders. World J Gastroenterol 2009; 15(26): 3201–3209
Deeba S, Aziz O, Sains PS, Darzi A. Fistula-in-ano: advances in treatment. Am J Surg 2008; 196(1): 95–99
Williams JG, Farrands PA, Williams AB, Taylor BA, Lunniss PJ, Sagar PM, Varma JS, George BD. The treatment of anal fistula: ACPGBI position statement. Colorectal Dis 2007; 9(Suppl 4): 18–50
Cirocchi R, Farinella E, La Mura F, Cattorini L, Rossetti B, Milani D, Ricci P, Covarelli P, Coccetta M, Noya G, Sciannameo F. Fibrin glue in the treatment of anal fistula: a systematic review. Ann Surg Innov Res 2009; 3(1): 12
Chivate SD. Comment on Meinero and Mori: Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure to repair complex anal fistulas. Tech Coloproctol 2012; 16(6): 465–466, discussion 467, author reply 469–470
Vatansev C, Alabaz O, Tekin A, Aksoy F, Yilmaz H, Kücükkartallar T, Akcam T, Pamukcu A. A new seton type for the treatment of anal fistula. Dig Dis Sci 2007; 52(8): 1920–1923
van Onkelen RS, Gosselink MP, Schouten WR. Treatment of anal fistulas with high intersphincteric extension. Dis Colon Rectum 2013; 56(8): 987–991
Ellis CN. Bioprosthetic plugs for complex anal fistulas: an early experience. J Surg Educ 2007; 64(1): 36–40
Singer M, Cintron J, Nelson R, Orsay C, Bastawrous A, Pearl R, Sone J, Abcarian H. Treatment of fistulas-in-ano with fibrin sealant in combination with intra-adhesive antibiotics and/or surgical closure of the internal fistula opening. Dis Colon Rectum 2005; 48(4): 799–808
Zmora O, Mizrahi N, Rotholtz N, Pikarsky AJ, Weiss EG, Nogueras JJ, Wexner SD. Fibrin glue sealing in the treatment of perineal fistulas. Dis Colon Rectum 2003; 46(5): 584–589
Chung W, Kazemi P, Ko D, Sun C, Brown CJ, Raval M, Phang T. Anal fistula plug and fibrin glue versus conventional treatment in repair of complex anal fistulas. Am J Surg 2009; 197(5): 604–608
Marti L, Kruse C, Zadnikar M, Maurus C, Kim CH, Herold A. Surgical treatment of fistula-in-ano-a journey between Skylla and Charybdis. Ther Umsch 2013; 70(7): 383–391 (in German)
Beets-Tan RG, Beets GL, van der Hoop AG, Kessels AG, Vliegen RF, Baeten CG, van Engelshoven JM. Preoperative MR imaging of anal fistulas: Does it really help the surgeon? Radiology 2001; 218(1): 75–84
Leng Q, Jin HY. Anal fistula plug vs mucosa advancement flap in complex fistula-in-ano: a meta-analysis. World J Gastrointest Surg 2012, 27; 4(11): 256–261
Lehmann JP, Graf W. Efficacy of LIFT for recurrent anal fistula. Colorectal Dis 2013; 15(5): 592–595
Berman L, Israel GM, McCarthy SM, Weinreb JC, Longo WE. Utility of magnetic resonance imaging in anorectal disease. World J Gastroenterol 2007; 13(23): 3153–3158
Hussain SM, Stoker J, Schouten WR, Hop WC, Laméris JS. Fistula in ano: endoanal sonography versus endoanal MR imaging in classification. Radiology 1996; 200(2): 475–481
Halligan S, Stoker J. Imaging of fistula in ano. Radiology 2006; 239 (1): 18–33
Buchanan GN, Halligan S, Bartram CI, Williams AB, Tarroni D, Cohen CR. Clinical examination, endosonography, and MR imaging in preoperative assessment of fistula in ano: comparison with outcome-based reference standard. Radiology 2004; 233(3): 674–681
Beets-Tan RG, Beets GL, van der Hoop AG, Kessels AG, Vliegen RF, Baeten CG, van Engelshoven JM. Preoperative MR imaging of anal fistulas: Does it really help the surgeon? Radiology 2001; 218(1): 75–84
Buchanan GN, Halligan S, Williams AB, Cohen CR, Tarroni D, Phillips RK, Bartram CI. Magnetic resonance imaging for primary fistula in ano. Br J Surg 2003; 90(7): 877–881
van Koperen PJ, Bemelman WA, Bossuyt PM, Gerhards MF, Eijsbouts QA, van Tets WF, Janssen LW, Dijkstra FR, van Dalsen AD, Slors JF. The anal fistula plug versus the mucosal advancement flap for the treatment of anorectal fistula (PLUG trial). BMC Surg 2008; 8(1): 11
Gupta P. Anal fistulotomy by radiofrequency. J Nippon Med Sch 2004; 71(4): 287–291
Billingham RP, Isler JT, Kimmins MH, Nelson JM, Schweitzer J, Murphy MM. The diagnosis and management of common anorectal disorders. Curr Probl Surg 2004; 41(7): 586–645
Poon CM, Ng DC, Ho-Yin MC, Li RS, Leong HT. Recurrence pattern of fistula-in-ano in a Chinese population. J Gastrointestin Liver Dis 2008; 17(1): 53–57
Sygut A, Zajdel R, Kedzia-Budziewska R, Trzciński R, Dziki A. Late results of treatment of anal fistulas. Colorectal Dis 2007; 9(2): 151–158
Inceoglu R, Gencosmanoglu R. Fistulotomy and drainage of deep postanal space abscess in the treatment of posterior horseshoe fistula. BMC Surg 2003; 3(1): 10
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Zhu, R., Shen, L., Wang, C. et al. A new minimally invasive treatment for anal fistula. Front. Med. 9, 77–81 (2015). https://doi.org/10.1007/s11684-014-0352-0
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DOI: https://doi.org/10.1007/s11684-014-0352-0