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Double flap plastic surgery of a high rectoanal fistula


Authors: P. Anděl 1;  A. Pelikán 2;  O. Kubala 1;  P. Schwarz 1
Authors‘ workplace: Chirurgická klinika FNO Ostrava Přednosta: Doc. MUDr. Jan Dostalík, CSc. 1;  Aberdeen Royal Hospital Scotland UK Consultant: Professor Anton Pelikan MD DSc 2
Published in: Prakt. Lék. 2008; 88(9): 526-527
Category: Of different specialties

Overview

The authors describe a method for the treatment of a high rectoanal fistula using the combination of two surgical techniques - transanal endoscopic microsurgery /T.E.M/ and using a Limberg flap. The seton method, which is often used as a universal method, has limited performance criterion.

Key words:
recto-anal fistula, fistula in ano, T.E.M., Limberg flap.


Sources

1. Inceoglu, R., Gencosmanoglu, R. Fistulotomy and drainage of deep postanal space abscess in the treatment of posterior horseshoe fistula. BMC Surg. 2003, 26, p. 3-10.

2. Koutroubakis, I.E. The patient with persistent perianal fistulae. Best Pract. Res. Clin. Gastroenterol. 2007, 21, 3, p. 503-518.

3. Lasheen, A.E. Partial fistulectomy and fistular wall flap for the treatment of high perianal fistulas. Surf. Today 2004, 34, 11, p. 977-980.

4. Seros, F., Gorenstein, A. Characteristics of perianal abscess and fistula-in-ano in healthy children World J. Surg. 2006, 30, 3, p. 467-72.

5. Singh, M., Sharma, A., Gardiner, A., Dulie, G.S. Early results of a rotational flap to treat chronic anal fissures Int. J. Colorectal Dis. 2005, 20, 4, p. 339-42.

6. Sungurtekin, U., Sungurtekin, H., Kabay, B., Tekin, K., Aytekin, F., Erdem, E., Ozden, A. Anocutaneous VY advancement flap for the treatment of complex perianal fistula Dis Colon Rectum. 2004, 47, 12, p. 2178 – 83.

7. Van Koperen, P.J., D´Hoore, A., Wolthuis, A.M., Bemelman, W.A., Slors, J.F. Anal Fistula Plug for Closure of Difficult Anorectal Fistula: A prospective Study, Dis. Colon Rectum 2007, 50,12, p. 2167-2172.

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