Abstract
Controversy surrounds the management of fistula in ano especially the high type. This study assesses the clinical results of a partial fistulectomy with a closure of the internal opening using a fistular wall flap for the management of high perianal fistulas. This technique was performed in 50 patients with this condition, with the aid of a fistulectomy tube. The clinical outcome was assessed in terms of continence and recurrence for a period of 22 months after operation. The technique is easy to perform, results in less morbidity, and provided successful healing in 49 patients. A recurrent fistula occurred in one patient. No continence disturbance was noted during the follow-up period. This technique is thus considered to be an effective method for managing high perianal fistulas since it was found to demonstrate good results in terms of recurrence and continence.
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Lasheen, A. Partial Fistulectomy and Fistular Wall Flap for the Treatment of High Perianal Fistulas. Surg Today 34, 977–980 (2004). https://doi.org/10.1007/s00595-004-2843-0
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DOI: https://doi.org/10.1007/s00595-004-2843-0