[Results with a new therapy concept in anal fistula: suture of the anal sphincter].

Abstract

Eleven patients with suprasphincteric, translevatoric, or high transsphincteric fistula and 10 patients with low (transsphincteric or intersphincteric) fistula were treated by fistulectomy using sphincterotomy or a transsphincteric approach, with primary sphincter reconstruction. After a follow-up of 2-9 months one patient had a recurrence and in a further patient the internal anal sphincteric suture had become dehiscent, necessitating sphincteroplasty. 20 patients (95%) had a perfect anatomic and clinical functional result without recurrence. Fistulectomy with primary closure proved to be a safe treatment modality for primary and recurrent high and low fistula, with the advantages of rapid wound healing and of avoidance of continence disturbance due to sphincter division, anal canal deformity, or mucosal flap ectropion.

• Authors: E Gemsenjäger
• Journal: Schweizerische medizinische Wochenschrift (Schweiz Med Wochenschr) Vol. 126 Issue 47 Pg. 2021-5 (Nov 23 1996) ISSN: 0036-7672 [Print] Switzerland
• Vernacular Title: Erfahrungen mit einem neuen Therapiekonzept bei Analfistel: Naht des analen Sphinkters.
• PMID: 8984610 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Anal Canal (surgery)
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Rectal Fistula (surgery)
• Surgical Procedures, Operative (methods)
• Suture Techniques