J 2014

Role of video assisted anal fistula treatment in our management of fistula-in-ano

GROLICH, Tomáš; Tomáš SKŘIČKA; Oldřich ROBEK; Zdeněk KALA; Beáta HEMMELOVÁ et al.

Základní údaje

Originální název

Role of video assisted anal fistula treatment in our management of fistula-in-ano

Autoři

Vydání

Acta chirurgica iugoslavica, Beograd, Klinički centar Srbije, Institut za bolesti digestivnog sistema, 2014, 0354-950X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Srbsko

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/14:00077125

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

fistula in ano; internal opening; video assisted; fistuloscope

Štítky

Příznaky

Recenzováno
Změněno: 5. 11. 2014 10:22, Soňa Böhmová

Anotace

V originále

Background: Video-assisted anal fistula treatment is a new method used for treatment of complex perianal fistula with maximal sparing of sphincter muscles and prevention of false route. Authors inform about their experience and operative results. Aims: Our aim was to verify feasibility of the method, help in internal opening identification and define its position in our management of perianal fistulas. Methods: Patients with chronic fistula-in-ano of IBD and non-IBD benign etiology were enrolled. Anoscopy with fistuloscopy was attempted in all patients followed by loose seton drainage or other procedure. Results: Fistuloscopy was attempted in 30 patients, finished in 93% and internal opening was found in 67%. No procedure-related morbidity was observed. Conclusion: Fistuloscopy alone is feasible for diagnosing type of IBD and non-IBD fistulas. VAAFT technique and instruments were helpful for identification of an internal opening in most cases. As such it has established role in our management of fistula-in-ano.