Perianal Abscess and Fistula-in-Ano
0
Citation
9
Reference
10
Related Paper
Keywords:
Perianal Abscess
Fistulotomy
Rectal fistula
Fistulotomy
Fistulectomy
Incision and drainage
Etiology
Perianal Abscess
Anus
Anorectal anomalies
Cite
Citations (49)
Fistulotomy
Perianal Abscess
Incision and drainage
Cite
Citations (0)
Background: The association of an abscess and/or fistula with the fissure is not identification. Data on the treatment strategy is not clear and also indefinite.Methods: The aim of this study was to search for the prevalence of a fistula in patients with chronic anal fissure (CAF). All of the patients were examined by physicians specialized and experienced in proctology. They were registered on standardized forms. Patients who described discharge after chronic anal pain in their anamnesis also worked on these forms. All of the patients included in the study had a CAF and an anal fistula developed on the basis of anal fissure.Results: Patients who underwent surgery for anal fistula between 2011-2020 were analyzed rectospectively. Nineteen patients (2.6%) had a fistula due to CAF. Twelve (62%) of the patients had superficial fistula, 7 (38%) had type 1 fistula. Fistulectomy and internal sphincterotomy were performed in patients with superficial fistula developed on the basis of CAF. In patients with type 1 anal fistula developed on the background of CAF, only fistulotomy was performed. The mean recovery time of the patients was 14 days and the mean duration of symptoms was 4 days.Conclusions: It is the determinant of CAF in the success of the treatment of anal fistula developing on the basis of CAF. Adequate sphincterotomy is successful in the treatment of CAF and anal fistula developing on the fissure background.
Fistulotomy
Fistulectomy
Perianal Abscess
Anal fissure
Cite
Citations (1)
Abstract Background Anal fistula is abnormal communication between the anal canal and the perianal skin or perineum or buttocks. Anal fistula is almost always a consequence of an anorectal abscess that was drained. While the abscess represents the acute phase of the disease, fistula represents the chronic phase as the fistulous pathway may persist in about 1/3 of cases. Aim of the Work In this study we will perform fistulotomy with primary sphincter repair in high cryptoglandular fistula with assessment of recurrence rate, incontinence rate and patient satisfaction according to pain score, wound healing, discharge and return to daily activity parameters. Methods This was prospective cohort study on 30 patients of high peri-anal fistulae and fistulotomy and reconstruction (primary suture repair) of anal sphincter was done., the patients were followed up 6 months postoperatively regarding their continence using Wexner score, recurrence, discharge and their return to work by scheduled outpatient clinical examination. Results Among 30 patients only three patients complaining usual incontinence mostly as post defecation soiling. Three patients reported anal fistula recurrence: One occurred at the 5th month, while the other two occurred at the 6th month after surgery. The procedure was well tolerated by the patients as most of them complaining only minimal pain and returned to work after two weeks without need of other stage like other procedures. Conclusion Fistulotomy with primary sphincter repair is an effective therapeutic option for patients with high anal fistula. Our study demonstrated that immediate reconstruction of the sphincters after fistulotomy achieved high success rates and low risk of postoperative fecal incontinence, compared to reported rates after simple fistulotomy.
Fistulotomy
Perianal Abscess
Cite
Citations (1)
Fistulotomy
Fistulectomy
Perianal Abscess
Pathogenesis
Cite
Citations (5)
Fistulotomy
Fistulectomy
Perianal Abscess
Anal fissure
Etiology
Incision and drainage
Internal anal sphincter
Cite
Citations (0)
Abstract A perianal fistula is a pathological canal covered by granulation tissue connecting the anal canal and perianal area epidermis. The above-mentioned problem is the reason for the patient to visit the surgeonproctologist. Unfortunately, the disease is characterized by a high recurrence rate, even despite proper management. The aim of the study was to determine the current condition of perianal fistula treatment methods in everyday surgical practice, considering members of the Society of Polish Surgeons. Material and methods. 1523 members of the Society of Polish Surgeons received an anonymous questionnaire comprising 15 questions regarding perianal fistula treatment in everyday practice. Results. Results were obtained from 807 (53%) members. After receiving answers, questionnaire results were collected, analysed, and presented in a descriptive form. Conclusions. Study results showed that most Polish surgeons choose the fistulectomy/fistulotomy method. Considering treatment of perianal fistulas the most important issue is to find the correct, primary fistula canal. Further methods should be individually selected for each patient. One should also remember that every fistula is different. Surgical departments that operate a small number of perianal fistulas should direct such patients to reference centers.
Fistulotomy
Fistulectomy
Rectal fistula
Cite
Citations (7)
Fistulotomy
Fistulectomy
Fecal Incontinence
Perianal Abscess
Internal anal sphincter
Incision and drainage
Cite
Citations (39)
Anal fistula is usually treated by either fistulotomy or fistulectomy. We described the routine use of setons to treat anal fistula without any surgery.Forty-seven consecutive patients with diagnosed anal fistulae were treated using setons alone.The median age of the patients was 41 (range: 18-70). Of the 47 patients, 15 had surgery previously for fistula and perianal abscess. At least two setons were inserted through each fistula. One was tied tightly to function as a cutting seton and this was sequentially tightened by the patient and another was tied loosely for drainage. Of the 47 patients, 33 (70%) had the placement of setons in the clinic without any anaesthesia. The remaining 14 patients had the setons inserted in the operating room, with one patient having a complex anal fistula and 13 patients having perianal abscess requiring drainage at the same time. There were no post procedure complications in the series. Forty-one patients had completed follow up at clinic within a median duration of 15 weeks (range: two to 67 weeks). The fistula was completely healed by this method in 37 patients (78%). The median healing time was nine weeks (range: four to 62 weeks). One patient developed recurrent fistula and was healed after another seton placement. No patient developed any faecal incontinence and all patients were satisfied with this treatment.The routine seton method is safe, cheap and effective in the treatment of anal fistula regardless of type. It does not leave an open wound and most patients are satisfied with the treatment.
Fistulotomy
Fistulectomy
Incision and drainage
Perianal Abscess
Cite
Citations (67)
Bakground: Anal and perianal sepsis is common anorectal disorders found in surgical practice. This study aims to report epidemiological aspects and outcomes of management of anal and perianal suppuration. Methods: This was a retrospective study from January 2011 to June 2016 at Niamey National Hospital. Patients operated on for anal and perianal suppuration of non-specific anorectal origin were included. Results: During the study period, we collected 141 cases of anal and perianal suppurations. The average age of our patients was 42±8.8 years. The sex ratio was 3.27 in favor of men. The origin of the patients was urban in 73.8% of the cases. The history of diabetes mellitus was found in 14.2% (n=20). Anal fistulas and anal abscesses (n=115) were simple in 46% (n=53) and complex in 54% (n=62). A fistulectomy with the placement of an elastic seton was performed for 41.13% of cases (n=58) and fistulotomy in 29.78%. The evolution of 6 months was marked by a recurrence in 10.63% (n = 15), the anal incontinence of gas at 9.21% (n=13). Deaths (n=4) were recorded in patients with Fournier’s gangrene. Uncomplicated therapeutic success was 80.13% (n=113). Conclusion: The surgical treatment of anal fistula (the main cause of anal and perianal suppuration) aims to eradicate the suppuration and to preserve the anal continence. The fistulotomy done in the context of the management of a simple fistula gives a better outcome. Incontinence-related complications and relapses must impose thoroughness and patience in the surgical treatment of complex fistulas.
Fistulotomy
Fistulectomy
Perianal Abscess
Gangrene
Cite
Citations (0)