Surgical management and therapeutic prospectus of anal fistula: a review

Aggarwal, Varun; Dhingra, Rachna; Singh, Gurpal; Monga, Shamim; Jain, Anuj; Bansal, Vivek; Shivani, Shivani

doi:10.5455/2349-2902.isj20150502

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…Parks classified anal fistula according to the relation of the tract with anal sphincters into: intersphincteric, transsphincteric, suprasphincteric, and extrasphincteric (3) Anal fistulas were classified also into simple and complex. Anal fistulas were classified also into simple and complex, treatment of complex fistulas usually associated with a high risk of incontinence or recurrence, a fistula is termed complex when the tract crosses more than 30 % of the external anal sphincter (this include hightranssphincteric, suprasphincteric, and extrasphincteric types in Parks classification) also fistula is considered complex if it is recurrent or has multiple tracts, anterior fistulas in females and fistulas in patients has pre-existing incontinence or local disease as Crohn's disease, TB or local irradiation.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Ligation of the Intersphincteric Fistula Tract (LIFT) Technique As A Sphincter Preserving Surgery For Perianal Fistula

Mahmoud

El-Shiemy

Ibrahim

2022

Minia Journal of Medical Research

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Section: Introductionmentioning

confidence: 99%

Evaluation of Ligation of the Intersphincteric Fistula Tract (LIFT) Technique As A Sphincter Preserving Surgery For Perianal Fistula

Mahmoud

El-Shiemy

Ibrahim

2022

Minia Journal of Medical Research

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“…It is defined as a communication between the ano-rectal mucosa and the perianal skin that is lined with granulation tissue. 1 It usually results from an anorectal abscess which bursts spontaneously or after inadequate surgery, acute infection of the anal crypt leads to anal abscess and fistula represents the chronic form of this infection. 2 Parks classified anal fistula according to the relation of the tract with anal sphincters into: intersphincteric, transsphincteric, suprasphincteric, and extrasphincteric.…”

Section: Introductionmentioning

confidence: 99%

Ligation of the intersphincteric fistula tract technique in the treatment of anal fistula

Younes

2017

Int Surg J

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Background: Management of anal fistula is a challenging issue in surgical practice. No single technique is appropriate for treatment of all types of fistulas. The aim of this study was to evaluate the efficacy and safety of a new sphincter-sparing technique: ligation of the intersphincteric fistula tract (LIFT) for management of anal fistula.Methods: Over a period of 18 months from January 2015 to June 2016 twenty-one patients (12 males and 9 females) with transsphincteric anal fistula were treated with the LIFT procedure. Patients were followed up for at least six months postoperatively for fistula recurrence, rate of wound healing and effect on fecal continence.Results: Fistula healing rate was (90.5%); recurrence rate was 9.5% in the form of down staging to intersphincteric fistulas. Mean time of healing of intersphincteric wound was 32±7.4 days (ranged from 17 to 58 days). Mean time of healing of the external opening wound was 27±5.8 days (ranged from 19 to 56 days). No postoperative changes in fecal continence.Conclusions: LIFT operation is a safe and effective management of transsphincteric anal fistula, this technique has high healing rate with no effect on fecal continence.

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“…The growth and decaying granulation tissue affects the healing of the wound: Ren Donglin believes that [2] , followed by the sequelae of the abscess rupture or incision drainage that occurred around the anorectum, is that the anal canal or rectum communicates with the perianal skin A kind of granulation canal, which often has the risk of sepsis and sepsis, and the conservative treatment effect is not good. AGGARWAL V [3] believes that due to the special anal anatomy position, postoperative open trauma, local pollution and Long-term repair is inevitable, so that some patients have slow wound healing and poor healing quality after anal fistula surgery. Synthesis slows down and decomposition speeds up, affecting wound healing.…”

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confidence: 99%

Research Progress of Traditional Chinese Medicine on Wound Healing After Anal Fistula Operation

2021

FMSR

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Anal sputum disease, "Surgery Zhengzong" has said that "the husband is dirty with poison, the wine has a strong taste, the hard work, the poisonous and the anus forms a lump", which explains the etiology and pathogenesis of the perianal abscess. Chinese medicine believes that the anus the formation of sputum is caused by perianal abscess that does not heal for a long time. The anus is dominated by the bladder meridian of the full sun. The body's damp and heat residual toxin is injected into the bladder, which eventually causes heat to overcome meat rot. "Lectures on Evil Flesh Forty-two" pointed out: "Evil flesh is also carrion. After carbuncle ulceration, the carrion must be removed first, which means that the old and the new." The existence of the carrion affects the normality of the fresh granulation tissue of the wound. The growth and decaying granulation tissue affects the healing of the wound: Ren Donglin believes that [2] , followed by the sequelae of the abscess rupture or incision drainage that occurred around the anorectum, is that the anal canal or rectum communicates with the perianal skin A kind of granulation canal, which often has the risk of sepsis and sepsis, and the conservative treatment effect is not good. AGGARWAL V [3] believes that due to the special anal anatomy position, postoperative open trauma, local pollution and Long-term repair is inevitable, so that some patients have slow wound healing and poor healing quality after anal fistula surgery. Synthesis slows down and decomposition speeds up, affecting wound healing. "After anal fistula, the tissue will release inflammatory factors due to trauma stimulation, causing local swelling, compressing blood vessels, and causing local blood to run poorly", which will cause local tissue ischemia and hypoxia , Blood viscosity increases, resulting in insufficient tissue perfusion. Studies such as Jonsson [34] found that insufficient tissue perfusion will cause a decrease in the oxygen content and collagen content of the wound, and the perfusion of wound tissue can promote wound healing. Therefore, the long time for wound healing after anal fistula, postoperative infection, postoperative pain and other aspects trouble patients and anorectal clinicians. External treatment of traditional Chinese medicine has a long history of promoting wound healing after anal fistula. There are many treatment methods, and the curative effect is remarkable, which reflects the unique advantages of the external treatment of TCM. The author consulted the relevant literatures in recent years about the external treatment of TCM to promote the healing of wounds after anal fistula. Conduct an overview.

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Surgical management and therapeutic prospectus of anal fistula: a review

Cited by 4 publications

References 21 publications

Evaluation of Ligation of the Intersphincteric Fistula Tract (LIFT) Technique As A Sphincter Preserving Surgery For Perianal Fistula

Evaluation of Ligation of the Intersphincteric Fistula Tract (LIFT) Technique As A Sphincter Preserving Surgery For Perianal Fistula

Ligation of the intersphincteric fistula tract technique in the treatment of anal fistula

Research Progress of Traditional Chinese Medicine on Wound Healing After Anal Fistula Operation

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