Abstract | INTRODUCTION: METHODS: We propose a novel approach consisting in non-cutting seton positioning followed by flap repair associated with dermal matrix injection into the fistula tracts after several weeks. RESULTS: We report our experience with this two-staged procedure on 11 consecutive patients with recurrent high trans-sphincteric fistulas with a minimum follow-up of 6 months. CONCLUSIONS: In our experience, this two-stage approach seems to be safe and effective.
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Authors | Pierpaolo Sileri, Luana Franceschilli, Giovanna Del Vecchio Blanco, Vito M Stolfi, Giulio P Angelucci, Achille L Gaspari |
Journal | International journal of colorectal disease
(Int J Colorectal Dis)
Vol. 26
Issue 3
Pg. 345-9
(Mar 2011)
ISSN: 1432-1262 [Electronic] Germany |
PMID | 20953873
(Publication Type: Clinical Trial, Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Aged
- Animals
- Collagen
(administration & dosage, pharmacology, therapeutic use)
- Dermis
(metabolism)
- Extracellular Matrix
(metabolism)
- Female
- Follow-Up Studies
- Humans
- Injections
- Male
- Middle Aged
- Rectal Fistula
(surgery)
- Surgical Flaps
- Sus scrofa
- Wound Healing
(drug effects)
- Young Adult
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