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Diseases of the Colon & Rectum

, Volume 43, Supplement 10, pp S69–S77 | Cite as

Sphincter-preserving techniques for anal fistuals in Japan

  • Junichi Iwadare
Current Status
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Abstract

After the articles by Eisenhammer, Parks, Hanley, and Goligher and the classification system established by Sumikoshi, surgeons in Japan became very active in creating and modifying new sphincter-preserving surgical procedures for low intersphincteric and ischiorectal fistulas. This article reviews the literature, summarizes each procedure, identifies the transitions, and discusses recurrence rates, cures, and subsequent variations. Japanese surgeons favor sphincter-preserving techniques for low intersphincteric fistulas that involve partial or complete coring out of fistula tracts. Common sphincter-preserving procedures for ischiorectal fistulas involve coring-out techniques and muscle-filling procedures. The recurrence rates of sphincter-preserving procedures for low intersphincteric fistulas are between 5 and 6 percent, whereas the recurrence rates for the sphincter-preserving techniques used on ischiorectal fistulas are in the 7 to 10 percent range.

Key words

Anal fistula Sphincter preserving Ischiorectal fistula Muscle-filling procedure 

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Copyright information

© The American Society of Colon and Rectal Surgeons 2000

Authors and Affiliations

  • Junichi Iwadare
    • 1
  1. 1.Department of ProctologySocial Health Insurance HospitalTokyoJapan

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