Anal Fistulotomy with Radiofrequency

Radiofrequency thermal ablation versus ‘cold steel’ for supra-auricular excision of preauricular sinus: comparative study

“…This supports the view that, as radiofrequency thermal ablation both coagulates and cuts during dissection, it reduces bleeding to a minimum 17 . The use of radiofrequency ablation also clarifies the surgical field, thereby facilitating dissection of the sinus and its tract 18 …”

“…This supports the view that, as radiofrequency thermal ablation both coagulates and cuts during dissection, it reduces bleeding to a minimum. 18 • Various techniques have been described for preauricular sinus excision, the standard being sinectomy • This study compared the results of radiofrequency-assisted excision versus 'cold steel' excision, for supra-auricular excision of preauricular sinus • Radiofrequency-assisted, wide, local excision appeared suitable for treatment of preauricular sinuses, with a lower recurrence rate, improved visualisation and easier dissection, compared with cold steel excision 18 There were no cases of post-operative incision scar hypertrophy or keloid formation in either group.…”

A new minimally invasive treatment for anal fistula

“…Second, as the infection of glands within the submucosa and internal sphincter is the initiating event in fistula-inano through a process known as the "cryptoglandular hypothesis" [22], the eventual eradication of the fistula depends only on identifying and eliminating the internal opening [23]. The lateral traction on the fistula tract sometimes results in dimpling at the primary opening.…”

Advances in the Management of Fistula in Ano

“…Setons are the alternative of treatment for high trans-sphincteric and anterior trans-sphincteric fistula in women and they should be used in patients with high probability of incontinence [9,10] . Two types of setons are used for management of fistulas.…”