On se retrouve ainsi avec une fistule complexe. Mais dans certains cas, les trajets sont plus longs, capables de traverser le sphincter externe, formant un 2e trajet de fistule. Il existe donc plusieurs types de fistules complexes. Classification de Parks.

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On se retrouve ainsi avec une fistule complexe. Mais dans certains cas, les trajets sont plus longs, capables de traverser le sphincter externe, formant un 2e trajet de fistule. Il existe donc plusieurs types de fistules complexes. Classification de Parks.

Vol 1. Ces examens sont donc souhaitables si disponibles en urgence car ils ne doivent pas faire retarder la prise en charge chirurgicale. Ils ne doivent donc pas retarder la chirurgie.

On obtient ainsi une fibrose du trajet. Haim et al. Tobisch et al. Concours Med ; Sanio P. Fistula-in-ano in a defined population.

Incidence and epidemiological aspects. Ann Chir Gynaecol ; Anal Fistula. Br J Surg ; Fistula in ano. Internal J Colorectal Dis ; A classification of fistula in ano. Perianal abcesses and fistulas. A study of patients. Dis Colon Rectum ;27 9 Simple clinical examination predicts complexity of perianal fistula.

Colorectal Dis ;8 7 A classification of fistula-in-ano. Br J Surg ;63 1 Rev Prat ; Intraoperative physical diagnosis in the management of anal fistula. Am Surg ;72 1 Comparison between anal endosonography and digital examination is the evaluation of anal fistulae. Br J Surg ;78 4 Dis Col Rectum ; Suppurations anales.

Acta endoscopica ; Fistules anales. External anal sphincter defects: correlation between preoperative anal endosonography and intraoperative findings. Br J Radiol ; J Radiol ; Magnetic resonance Imaging of fistula-in-ano. Dis Colon Rectum ; Fistula in ano: endoanal sonography versus endoanal MR Imaging in classification.

Radiology ; J Magn Reson Imaging ; Endoanal ultrasound or magnetic resonance Imaging for preopartive assessment of anal fistula: a comparative study. Colorectal Dis ; Prospective comparison of hydrogen peroxide-enhanced threedimensional endoanal ultrasonography and endoanal magnetic resonance imaging of perianal fistula. Clinical examination, endosonography, and MR Imaging in preoperative assessment of fistula in ano: comparison with outcome-based reference standard.

Radiology Hydrogen peroxide-enhanced three-dimensional endoanal ultrasonography and endoanal magnetic resonance Imaging in evaluating Eur J Gastroenterol Hepatol Meta-analysis of randomized clinical trials comparing drainage alone vs primary sphincter-cutting procedures for anorectal abscess-fistula. Int J Colorectal Dis ;21 6 Br J Surg ;85 2 Fucini C. One stage treatment of anal abscesses and fistulas. A clinical appraisal on the basis of two different classifications.

Int J Colorectal Dis ;6 1 Prospective randomized trial of drainage alone versus drainage and fistulotomy for acute perianal abscesses with proven internal opening.

Dis Colon Rectum ;39 12 Anal manometry improves the outcome of surgery for fistula in ano. Dis Colon Rectum 32 7 Patient satisfaction after surgical treatment for fistula in ano. Dis Colon Rectum ;43 9 Seton treatment of perianal fistula with high anal or rectal opening.

Br J Surg ; 82 7 Seton treatment of high anal fistulae. Br J Surg ;78 10 Ann Gastroenterol Hepatol ; Reccurent perianal fistulas: failure of treatment or recurrent patient disease? Int J Colorectal Dis ; Longterm functional outcome and risk factors for recurrence after surgical treatment for low and High perianal fistulas of cryptoglan- 97 Dis Colon Rectum ; Smoking affects the outcome of transanal mucosal advancement flap repair of transsphincteric fistulas.

Br J Surg ; 90 3 Functional results after transanal rectal advancement flap repair of trans-sphincteric fistula. Clinical and manometric results of endorectal advancement flaps for complex anal fistula. Int J Colorectal Dis ;22 3 Influence of Parks anal retractor on anal sphincter pressures.

Dis Colon Rectum ;40 9 Long-term outlook after successful fibrin glue ablation of cryptoglandular transsphincteric fistulain-ano. Dis Colon Rectum Oct ; 51 10 Epub Jul 9. Fibrin glue for fistulain-ano: the evidence reviewed. Tech Coloproctol ; A randomized, controlled trial of fibrin glue conventional treatment for anal fistula. Dis Colon Rectum ;45 12 Longterm results of fibrin glue treatment for cryptogenic perianal fistulas: a multicenter study.

Dis Colon Rectum Oct;54 10 Dis Colon Rectum Mar;55 3 : Evaluation of a new synthetic plug in the treatment of anal fistulas: results of a pilot study. Dis Colon Rectum Nov;54 11 Gore Bio-A fistula plug: a new sphinctersparing procedure for complex anal fistula. Colorectal Dis. Total fistulectomy with simple closure of the internal opening in management of complex cryptoglandular fistulas: long-term results and functional outcome. Dis Colon Rectum Jul;55 7 The anal fistula claw: the OTSC-clip for anal fistula closure.

Colorectal Dis Nov; Rojanasakul A.


La fistule anale cryptogénique

Treatment[ edit ] There are several stages to treating an anal fistula: Definitive treatment of a fistula aims to stop it recurring. Treatment depends on where the fistula lies, and which parts of the internal and external anal sphincters it crosses. Once the fistula has been laid open it will be packed on a daily basis for a short period of time to ensure that the wound heals from the inside out. This option leaves behind a scar, and depending on the position of the fistula in relation to the sphincter muscle, can cause problems with incontinence.


Article : Chirurgie de fistule anale


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