Chirurgische Therapie hoher anorectaler und rectovaginaler Fisteln mittels transanaler endorectaler Verschiebelappenplastik View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2000-07

AUTHORS

S. Willis, M. Rau, V. Schumpelick

ABSTRACT

.Introduction: Sphincterotomy can be avoided in the repair of high anorectal or rectovaginal fistulas by use of rectal advancement flaps. Methods: Between 1986 and 1998, 22 patients with high anorectal and 15 patients with rectovaginal fistulas underwent fistulectomy without sphincterotomy and consecutive transanal rectal advancement flap repair. Results: Primary healing was achieved in 81 % (30/37 patients). There was no disturbance of continence though anal resting pressures decreased postoperatively. Recurrences occurred in 4 of 12 patients with Crohn's disease (2 anorectal, 2 rectovaginal) and in 1 patient with traumatic anorectal fistula. There were no recurrences in patients with cryptoglandular disease, while the operation failed in 2 patients with ergotamine-induced fistulas. Conclusions: This operative approach achieves a high primary healing rate with optimal functional outcome. Despite good results the indication should be set carefully in patients with Crohn's disease. More... »

PAGES

836-840

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s001040051145

DOI

http://dx.doi.org/10.1007/s001040051145

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1042377591

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/10986607


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