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.