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Journal articles on the topic 'Fistula Recurrence'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

International, Journal of Medical Science and Innovative Research (IJMSIR). "To Evaluate The Re-Recurrence Outcome of Surgery in Cases of Recurrent Fistula in-Ano With Preoperative MRI Fistulogram: A Case-Control Study." International Journal of Medical Science and Innovative Research (IJMSIR) 10, no. 2 (2025): 59–66. https://doi.org/10.5281/zenodo.15267286.

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<strong>Abstract</strong> <strong>Background:</strong> Recurrence rates after surgery on recurrent fistula-in-ano are higher than for surgery on index cases. Role of preoperative MRI fistulogram was evaluated in this study with respect to recurrence outcomes. <strong>Aim and objectives</strong>: Compare recurrence outcomes in patients who underwent surgery for recurrent fistula-in-ano with and without preoperative MRI. <strong>Material and methods</strong>: Study design is a case control study. Study population was all patients of Fistula-In-Ano who underwent Fistula-In-Ano surgery between May

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Maskin, Sergey S., Alexander S. Shiryaev, Yuri V. Perov, and Vitaly V. Khomochkin. "Modified ligation method fistular tract in the interspinctern space for transfincteral pararectal fistulas." Journal of Volgograd State Medical University 20, no. 3 (2023): 105–9. http://dx.doi.org/10.19163/1994-9480-2023-20-3-105-109.

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Background: The operation of ligation of the fistulous tract in the intersphincter space (LIFT) is widely used in the world for transsphincter pararectal fistulas (TSPF). However, the frequency of fistula recurrence still cannot satisfy coloproctologists and dictates the need to modify the LIFT operation method in order to increase its reliability and safety. The aim: To present the modified LIFT technique and the results of its clinical application in the treatment of TSPF. Materials and methods: The LIFT operation modified by us (RF Patent No. 2686949) was performed in 40 patient

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Handaya, Adeodatus Yuda, and Aditya Rifqi Fauzi. "Combined Fistulotomy and Contralateral Anal Internal Sphincterotomy for Recurrent and Complex Anal Fistula to Prevent Recurrence." Annals of Coloproctology 36, no. 2 (2020): 122–27. http://dx.doi.org/10.3393/ac.2018.11.19.

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The ideal intervention in the treatment of perianal fistula prevents the onset of infection to speed healing and prevent fistula recurrence while maintaining the function of the anal sphincter. Currently, there is no consensus on the best recommended surgical technique for perianal fistula management. Several studies have shown that fistulotomy was an easy and safe procedure for treatment of perianal fistula. Lateral internal sphincterotomy is the usual procedure performed on an anal fissure to decrease the anal sphincter tone. This study reports a combination of fistulotomy and contralateral

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Maskin, S. S., A. S. Shiryaev, Yu V. Perov, and V. V. Khomochkin. "Clinical application evaluation of the modified of ligation intersphincteric fistula tract procedure in treatment of anal fistula." Journal of Volgograd State Medical University 21, no. 1 (2024): 178–82. https://doi.org/10.19163/1994-9480-2024-21-1-178-182.

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Background: The problem of surgical treatment of transsphincteric pararectal fistulas (TSPF) remains relevant due to the high frequency of relapses. One of the most effective methods of treatment is the operation of ligation of the fistula in the intersphincter space (LIFT), but does not exclude the possibility of a "complete" recurrence of the fistula, which requires the development of new modifications of this operation. The aim: Evaluate the results of the clinical application of the modified LIFT operation method in the treatment of TSPF. Materials and methods: The prospective cohort contr

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Papaconstantinou, I., E. Kontis, V. Koutoulidis, G. Mantzaris, and I. Vassiliou. "Surgical Management of Fistula-in-ano Among Patients With Crohn’s Disease: Analysis of Outcomes After Fistulotomy or Seton Placement—Single-Center Experience." Scandinavian Journal of Surgery 106, no. 3 (2016): 211–15. http://dx.doi.org/10.1177/1457496916665763.

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Background and Aim: Fistula-in-ano is a common problem among patients with Crohn’s disease and carries significant morbidity. We aimed to study the outcomes of surgical treatment of fistula-in-ano after fistulotomy or seton placement in patients with perianal fistulizing Crohn’s disease. Material and Methods: A retrospective observational study of 59 patients diagnosed with Crohn’s disease, who were treated surgically for fistula-in-ano between 2010 and 2014 in our department. The assessment of disease complexity included a detailed physical examination, magnetic resonance imaging of the rectu

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Palak, Gandhi, Kumar Gaur Arun, and Modi Bhoomi. "Fistula in Ano: MRI and Post-Operative Findings Correlation." International Journal of Pharmaceutical and Clinical Research 15, no. 3 (2023): 1257–67. https://doi.org/10.5281/zenodo.12790015.

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<strong>Objective:</strong> To asses role of MRI in perianal fissure and fistula and to evaluate complications. <strong>Materials and Methods: </strong>Total 50 patients, who were clinically diagnosed as suffering from perianal fissure/fistula, were recruited. Each patient was studied in detail with relevant clinical history and Examination. MRI was performed on 1.5 T Philips scanner with patient in prone position using body coil, no special bowel preparation was used. <strong>Results: </strong>A total of 50 cases of perianal fissure/fistula, most patients were in age

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Atreya, Anshu, Ankit Raikhy, Srinivasa Rao Geddam, Abhishekh Bhartia, and Vishnu Kumar Bhartia. "Video Assisted Anal Fistula Treatment, a Paradigm Shift in the Treatment of Complex Anal Fistulas." Journal of Evidence Based Medicine and Healthcare 8, no. 06 (2021): 313–18. http://dx.doi.org/10.18410/jebmh/2021/61.

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BACKGROUND Fistula-in-ano or anal fistulas are documented since ancient times and their management has always been a challenge. Various modalities of treatment are available and newer ones are being added each day. The aim of this retrospective study is to analyse the outcome of the video assisted anal fistula treatment (VAAFT), one of the modalities of treatment for complex anal fistulas done at our centre. METHODS Records of patients who had been treated through VAAFT by single senior consultant surgeon of Minimal Access Surgery unit between April 2013 and March 2019, were collected and anal

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Georgios, Pilichos MD MSc1* Evdokia Gavrielatou MD2 Harikleia Vrettou MD PhD2 and Charalambos Zisis MD PhD FETCS1. "Repair of Congenital Tracheoesophageal Fistula Recurrence in an Adult Intensive Care Unit Patient Hospitalized due to Hemorrhagic Stroke – A Case Report and Literature Review." Mega Journal of Case Reports 8, no. 4 (2025): 2001–6. https://doi.org/10.5281/zenodo.15560889.

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<strong>Abstract</strong> Recurrence of tracheoesophageal fistula is a complication, characterized by high mortality risk. It may occur either directly postoperatively or several years after the initial repair. Direct closure of both tracheal and esophageal defects with the interposition of a muscle flap is the most usual surgical treatment performed. We present the case of a 65-year-old patient who was operated as an infant for a congenital tracheoesophageal fistula through a right-sided thoracotomy presenting now with a recurrent tracheoesophageal fistula caused by prolonged intubation due t

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Verma, Amrendra, Reena Kothari, Dhananjaya Sharma, and Pawan Agarwal. "Cutting of Sphincter in Fistulectomy with Primary Closure in Complex Fistula-in-Ano: Is it Feasible?" Journal of Coloproctology 43, no. 03 (2023): e204-e207. http://dx.doi.org/10.1055/s-0043-1774726.

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Abstract Introduction Treatment of complex fistulas such as inter- or transsphincteric, recurrent, and high fistulae have high rate of recurrence or incontinence. Fistulectomy with primary sphincter reconstruction might represent an effective and safe alternative to reduce rate of recurrence and incontinence. The aim of this study is to assess incontinence and recurrence after fistulectomy with primary sphincter reconstruction for management of complex fistulas. Material and Methods There were 60 patients with complex fistulae involving the sphincter, with 56 male and 4 female, mean age 40.6 y

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Abbas, Maher A., Rafael Lemus-Rangel, and Ali Hamadani. "Long-Term Outcome of Endorectal Advancement Flap for Complex Anorectal Fistulae." American Surgeon 74, no. 10 (2008): 921–24. http://dx.doi.org/10.1177/000313480807401008.

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The purpose of this study was to determine the long-term outcome of endorectal advancement flap (ERF) for complex anorectal fistulae. A total of 38 ERF were performed in 36 patients (2003–2007). Mean age was 45 years. The most common fistula type was transsphincteric. Eighty-one per cent of patients had prior surgical interventions. Primary closure rate was 83 per cent. Of the six initial failures, four were noted in patients operated for recurrent rectovaginal fistula. Postoperative complications occurred in seven patients (19%). During a mean follow-up of 27 months, recurrent disease was not

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Juth Karlsson, Alexander, Martin Salö, and Pernilla Stenström. "Outcomes of Various Interventions for First-Time Perianal Abscesses in Children." BioMed Research International 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/9712854.

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Introduction. In children treated surgically for first-time perianal abscesses, discovery and excision of concomitant fistulas may also be warranted.Aim. To evaluate children of varying age after incision and drainage of first-time perianal abscesses, examining recurrences rates with and without search for a fistula.Method. A retrospective review was conducted, analyzing children (ages 0–15 years) treated for first-time perianal abscesses at a tertiary pediatric surgical center, with a minimum follow-up of 6 months.Results. A total of 104 patients subjected to 112 treatments for first-time per

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Shankar, Vikram A., Alison Snyder-Warwick, Gary B. Skolnick, Albert S. Woo, and Kamlesh B. Patel. "Incidence of Palatal Fistula at Time of Secondary Alveolar Cleft Reconstruction." Cleft Palate-Craniofacial Journal 55, no. 7 (2018): 999–1005. http://dx.doi.org/10.1597/16-179.

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Objective: We aim to establish consistent time points for evaluating palatal fistula incidence to standardize reporting practices and clarify prospective literature. Design: An institutional retrospective chart review was conducted on 76 patients with unilateral or bilateral complete cleft lip and palate who underwent secondary alveolar bone grafting between 2006 and 2015. Main Outcome Measures: Early fistula incidence rates were reported prior to maxillary expansion, and late fistula rates were reported at the time of alveolar bone grafting. Fistula recurrence rates after primary repair were

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R., Ram Raj, and Narayanan Uma. "Total Excision of Fistulous Track with or without Seton: An Effective Treatment of Fistula in ANO." International Journal of Pharmaceutical and Clinical Research 15, no. 7 (2023): 1241–48. https://doi.org/10.5281/zenodo.11862760.

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<strong>Background: </strong>Management of fistula in ano, has been considered a clinical challenge for centuries. The risk of recurrence and incontinence being the most feared complications following its surgery. Up to date, surgery is the main modality in treating anal fistula, but there is no simple technique that can completely heal complex anal fistula. The present study analyses the results of fistulectomy with the use of cutting seton in treating fistula‑in‑ano recurrence rate, healing time, and continence status. <strong>Material & Methods: </strong>This observationa

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Khitaryan, A. G., A. Z. Alibekov, S. A. Kovalev, et al. "FILAC TECHNOLOGY FOR EXTRASPHINCTERIC FISTULAS." Koloproktologia 18, no. 2 (2019): 75–81. http://dx.doi.org/10.33878/2073-7556-2019-18-2-75-81.

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AIM: to assess efficacy of FiLaC technology for extrasphincteric fistulas.PATIENTS AND METHODS: the retrospective cohort study included 56 patients with extrasphincteric fistulas of Grade III and IV. All patients underwent a modified FiLaC procedure, which consisted of excision of the fistula tract, preservation of the fistula tract inside anal canal with its laser exposure by water-absorbing Biolitec laser power of 13W and energy density of 100 J/cm. Internal fistula opening was closed with a Z-shaped absorbable suture.RESULTS: after fistula tract excision up to the anal canal we failed to in

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M. E., Shaileshkumar, and Sushanth P. T. "Complex anal fistulae management by combined technique approach: an experience." International Surgery Journal 5, no. 4 (2018): 1454. http://dx.doi.org/10.18203/2349-2902.isj20181129.

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Background: The aim of this study is to evaluate our experience in the management of complex anal fistulae by combined technique approach. Ideal surgical treatment for complex anal fistula should aim to eradicate the source of infection and promote healing of the tract, while preserving the sphincters and the mechanism of anal continence. Even with the evolving newer techniques complex anal fistulae have higher rates of recurrence and functional disability as anal incontinence. The requirement of multiple surgeries for recurrence and the newer techniques like anal fistula plug are expensive an

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Karacan, Erkan, and Eyüp Murat Yılmaz. "Treatment of the fistula tract with laser ablation in high anal fistula." Journal of Clinical Medicine of Kazakhstan 19, no. 6 (2022): 43–45. http://dx.doi.org/10.23950/jcmk/12685.

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<b>Aim and introduction:</b> Considering the recurrence and fecal incontinence rates in high anal fistulas, surgical treatment of anal fistulas is a challenging process, although many treatments have been defined today. The aim of our study is to evaluate the long-term results of laser ablation of the fistula tract in high anal fistulas.<br /> <b>Material and methods: </b>The files of patients who underwent laser ablation of the fistula tract due to high anal fistula between June 2020 and January 2022 were evaluated retrospectively. Moreover, their postoperative c

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Holt, D., DJ Brockman, AM Sylvestre, and KK Sadanaga. "Lateral exploration of fistulas developing after total ear canal ablations: 10 cases (1989-1993)." Journal of the American Animal Hospital Association 32, no. 6 (1996): 527–30. http://dx.doi.org/10.5326/15473317-32-6-527.

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A lateral approach was used successfully in seven of 10 dogs to resolve fistulas which developed after total ear canal ablations and bulla osteotomies. The approach facilitated identification and removal of horizontal ear canal remnants in four of the 10 cases. Facial nerve function was worsened temporarily by lateral exploration in two cases. Seven cases had no fistula recurrence during follow-up, which ranged from 12 to 72 months. Three cases each had fistula recurrence one-to-two months after fistula exploration.

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Frolov, Sergey A., Alexandr M. Kuzminov, Dmitry V. Vyshegorodtsev, et al. "Application of Fibrin Glue in the Treatment of Rectal Fistula." Russian Journal of Gastroenterology, Hepatology, Coloproctology 29, no. 1 (2019): 31–35. http://dx.doi.org/10.22416/1382-4376-2019-29-1-31-35.

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Aim:to summarize the literature data on the treatment of rectal fistula using fibrin glue.Key findings:The prevalence of rectal fistula is about 9 cases per 100,000 population. Patients with rectal fistulas are frequently represented by the able-bodied middle-aged population group. The disease is extremely rarely observed in children and elderly people. Thus, this problem has a socially significant character. Fistula elimination is possible only by surgery, which is accompanied by the risk of fistula recurrence and the development of postoperative incontinence. In this regard, low-invasive tec

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Jovani, Manol, Linda Zhang, Yuting Huang, and Vivek Kumbhari. "Multi-layer endoscopic suturing: a novel method of gastric fistula closure." Endoscopy International Open 09, no. 10 (2021): E1520—E1523. http://dx.doi.org/10.1055/a-1517-4405.

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Abstract Background and study aims Current endoscopic methods of treating gastric fistulas are either too complex or have high rates of recurrence. We aimed to provide a novel endoscopic method for robust fistula closure. Patients and methods This was a single-center, retrospective study of five patients who underwent multi-layer endoscopic suturing for closing of a chronic fistula (> 4 weeks). Devitalization of the fistula tract was achieved with argon plasma coagulation, followed by endoscopic suturing of the fistula. Then, endoscopic suturing of the gastric wall surrounding the fistula w

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Maqbool, Jahangeer, Asif Mehraj, Zameer A. Shah, et al. "Fistulectomy and incontinence: do we really need to worry?" Medicine and Pharmacy Reports 95, no. 1 (2022): 59–64. http://dx.doi.org/10.15386/mpr-2045.

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Background. Anal fistula is often considered to be a dilemma because of the need to maintain a fine balance between postoperative incontinence and recurrence. We tried to find whether apprehension of causing incontinence should stop us from performing fistulectomy. The aim of this study was to determine whether fistulectomy was associated with increased rate of fecal incontinence and recurrence, compared to other procedures used for the treatment of anal fistula. Methods. It was a prospective, single center, observational study. All patients with anal fistula operated at a tertiary care

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Muharrem, Oner, and Maher Aref Abbas. "Predictors of Long-Term Healing for Endorectal Advancement Flap for Anorectal Fistulas." Journal of Coloproctology 43, no. 03 (2023): e185-e190. http://dx.doi.org/10.1055/s-0043-1772785.

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Abstract Introduction Anorectal fistulas are some of the commonest surgical proctologic disorders treated by surgeons. Despite the recent introduction of various sphincter preserving techniques, the search for the optimal operation continues. The purpose of this study was to determine the predictors of long-term healing for the endorectal advancement flap Methods A retrospective review of a single surgeon experience with the endorectal advancement flap for anorectal fistulas over an 18-year period. The impact of various patient and fistula related factors were analyzed for their impact on the

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Chakraborti, Chandana, Krittika Palchoudhury, and Jayanta Das. "Closure of sino-orbital fistula using glabellar rotation flap: A case report." Nepalese Journal of Ophthalmology 11, no. 2 (2019): 211–14. http://dx.doi.org/10.3126/nepjoph.v11i2.27829.

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Background: Sino-orbital fistulas (SOF) are a well-reported complication of orbitalexenteration and sinonasal carcinoma resection. Despite repair, however, complete fistula closure may be difficult. Case: A 79 –years-old man had undergone total exenteration of right orbit for spreading sqamous cell carcinoma of conjunctiva. Subsequently he developed two large sinoorbitalfistulae medially to the ethmoid sinus wall of the orbit. Post- operatively good socket hygiene was maintained but the fistulae increased in size. At 3 month follow-up, closure of the fistulae using glabellar rotation adv

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G. S. R., Hareesh, and Siva Prasad Naik Nenavath. "A prospective clinical study of fistula in ano: comparing different treatment modalities in a tertiary care hospital." International Surgery Journal 6, no. 7 (2019): 2411. http://dx.doi.org/10.18203/2349-2902.isj20192965.

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Background: Fistula in ano is one of the common anorectal condition, which is easy to diagnose but difficult to manage because of post-operative complications like incontinence and recurrence. Also numerous procedures have been described for its treatment so as to individualize treatment options.The aim of the study was to assess the efficacy of different treatment modalities in fistula in ano.Methods: This is a prospective study carried out in a tertiary medical college hospital where 75 patients with fistula in ano are analysed for clinical features and surgical modalities compared.Results:

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Gupta, P. J. "Anal fistulotomy using radiowaves - long-term outcome." Acta chirurgica Iugoslavica 55, no. 3 (2008): 115–18. http://dx.doi.org/10.2298/aci0803115g.

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OBJECTIVE: The aim of this paper was to analyze the results of treatment of anal fistulas using a radiowave device retrospectively. METHODS: Between 2000 and 2008, 976 patients were operated on for perianal fistula. A Ellman radiowave generator was used to carry out the complete surgical procedure. In the follow-up period 155 patients were lost, remaining 821 patients were analyzed in the study. The mean follow-up time was 6.8 years. Analyzed parameters included: postoperative complications, wound healing time, off work duration, recurrence rate and incidence of anal sphincter dysfunction. Sev

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Cilento, Benjamin W., Mark Izzard, Ernest A. Weymuller, and Neal Futran. "Comparison of Approaches for Oral Cavity Cancer Resection: Lip-Split versus Visor Flap." Otolaryngology–Head and Neck Surgery 137, no. 3 (2007): 428–32. http://dx.doi.org/10.1016/j.otohns.2007.05.006.

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OBJECTIVE: To compare lip-split and visor flap approaches to the oral cavity in terms of morbidity, margins, and locoregional recurrence. DESIGN AND SETTING: Retrospective case series at the University of Washington, Seattle. METHODS: Seventy patients undergoing resection of advanced (T4) anterior oral cavity squamous cell carcinoma requiring fibula reconstruction were grouped according to surgical access procedure performed (lip-split [LS] or visor flap [VF]). Data on surgical morbidity, margin status, and outcomes were compared. RESULTS: Recurrence rates and positive margins were similar for

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Venkatapuram, Mahidhar Reddy, and Sreeram Sateesh. "VAAFT versus fistulectomy in the management of anorectal fistulae: a comparative study?" International Surgery Journal 4, no. 12 (2017): 3895. http://dx.doi.org/10.18203/2349-2902.isj20175153.

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Background: Among the perianal diseases Fistula in ano is a very common condition bringing lot of discomfort to the patient with a high rate of recurrence as well. Conventionally fistulectomy has been the treatment of choice for fistula-in-ano. But the procedure is associated with lot of recurrence, morbidity and sphincter incontinence. Among several recent procedures VAAFT-video assisted anal fistula treatment is gaining popularity. So, we conducted this study to know the effectiveness of VAAFT over conventional fistulectomy.Methods: This prospective comparative study was undertaken to compar

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Chichevatov, Dmitry, and Alexander Gorshenev. "Omentoplasty in Treatment of Early Bronchopleural Fistulas after Pneumonectomy." Asian Cardiovascular and Thoracic Annals 13, no. 3 (2005): 211–16. http://dx.doi.org/10.1177/021849230501300304.

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This study was undertaken to assess the efficacy of omentoplasty in 12 cases of bronchopleural fistula after pneumonectomy. All fistulas formed within 16 days after the primary operation (median, 7 days). In 10 cases, omentoplasty was performed within 10 hours of diagnosis; the other 2 cases were treated at 28 and 31 hours. The greater omentum was mobilized through a laparotomy and secured tightly around the bronchial stump using original principles of fixation. After omentoplasty, dehiscence of the bronchial stump was observed in 5 (42%) patients, but owing to reinforcement with greater oment

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Praveen, R. Krishnan, Daniel Elizabeth, Prem L. Chinchu, and Verghese T. Josey. "The Predictive Accuracy of Magnetic Resonance Imaging (MRI) Findings in Identifying Anorectal Fistula over Intraoperative Findings." International Journal of Toxicological and Pharmacological Research 14, no. 3 (2024): 127–33. https://doi.org/10.5281/zenodo.10961054.

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<strong>Introduction:</strong> Fistula-in-ano, also referred to as the anal fistula, is an abnormal tract or cavity between the anal canal and perianal skin. The treatment of fistulas requires surgery. Proper manipulations, such as curettage and drainage of blind sinuses, abscess cavities, and accessory tracts, are the key for successful treatment. Owing to high soft tissue resolution of MRI, radiologists can provide detailed anatomic descriptions of the relationship between the fistula and the anal sphincter complex, localization of the site of internal opening of anal fistula, definitio

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Jat, Hari Ram, Neel Patel, Sitaram Barath, and Pooja Yadav. "Role of MRI in the Diagnosis and Pre-Operative Classification of Perianal and Anal Fistulas - A Cross-Sectional Study, Southern Rajasthan." Journal of Evidence Based Medicine and Healthcare 8, no. 33 (2021): 3156–62. http://dx.doi.org/10.18410/jebmh/2021/574.

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BACKGROUND Perianal fistulas account for a substantial discomfort and morbidity to the patient thus affecting productive man hours and quality of life. Accurate pre-operative assessment of course of the primary fistulous track and secondary extension or abscesses is required for successful surgical management of anal fistulas. The purpose of this study was to diagnose and classify pre-operative perianal fistulas. METHODS This is a cross-sectional study at Department of Radiodiagnosis in a tertiary level hospital of southern Rajasthan from November 2018 to November 2020. The study included a to

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Dharma, Reddy, Dutt Vivaan, N. Sahana, and Gundad Gururaj. "Fistulotomy in the Management of Perineo-Scrotal Anterior Fistula-In-Ano." International Journal of Toxicological and Pharmacological Research 13, no. 6 (2023): 60–66. https://doi.org/10.5281/zenodo.11122675.

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<strong>Introduction:</strong> Anterior fistulas opening over the scrotum or perineum, have long represented a surgical challenge. <strong>Objectives:</strong> To study the outcomes in 30 cases of anterior fistulas, treated with fistulotomy as a single stage procedure. <strong>Methods:</strong> In a prospective study, 30 patients with anterior fistulas were selected. Workup was done to delineate the course and type of fistula. The selected cases underwent fistulotomy as a single stage procedure. Outcomes of surgery were measured in terms of recurrence of symptoms, inco

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Younes, Hassan E. A. "Ligation of the intersphincteric fistula tract technique in the treatment of anal fistula." International Surgery Journal 4, no. 5 (2017): 1536. http://dx.doi.org/10.18203/2349-2902.isj20171540.

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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 f

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Duran Y, Polat IF, Gokce H, et al. "Interventional treatment of Anal Fistula: A Retrospective Analysis." World Journal of Advanced Research and Reviews 10, no. 2 (2021): 225–28. http://dx.doi.org/10.30574/wjarr.2021.10.2.0171.

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Introduction: Anal fistula is a benign anorectal disease. Infection of Hermann and Desfosses anal glands is responsible for the formation of abscesses and/or fistulas. The main treatment is surgery but recurrence and sometimes incontinence are frequently observed. So to choose surgical methods of anal fistula treatment is very important. Aim: The aim of this retrospective study was to evaluate the reliability and feasibility of Video-assisted anal fistula treatment (VAAFT) at the anal fistula surgery. Materials and Methods: A retrospective analysis was performed on data collected during a 11-y

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Zakharyan, A. V., I. V. Kostarev, L. A. Blagodarny, et al. "Impact of the method of internal opening closure of anal fistula on outcomes after laser fistula coagulation. Preliminary results of randomized clinical trial." Koloproktologia 21, no. 3 (2022): 33–42. http://dx.doi.org/10.33878/2073-7556-2022-21-3-33-42.

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AIM: to estimate the outcomes after fistula laser coagulation for transsphincteric anal fistulas.PATIENTS AND METHODS: a prospective randomized single-center study included 42 patients with transsphincteric anal fistulas, 36 (85.7%) of them had a follow-up > 3 months. Nineteen patients were randomized to the group of laser thermocoagulation of the fistula track (diode laser 1560 nm) combined with ligation of intersphincteric fistula track (LC + LIFT). Seventeen patients were randomized to the group of laser thermocoagulation of the fistula combined with closure of internal fistula opening b

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Verma, Rahul Kumar, Suman Yadav, and Ashutosh Kumar Yadav. "A CASE STUDY ON A COMPLEX FISTULA-IN-ANO BY AYURVEDIC MANAGEMENT." International Journal of Research in Ayurveda and Pharmacy 14, no. 4 (2023): 4–7. http://dx.doi.org/10.7897/2277-4343.1404101.

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Fistula-in-ano can be a complicated disease to manage. An anal fistula is divided into simple and complex fistula. Managing complex fistula is even more challenging, which typically affects younger people and causes persistent morbidity. It is pertinent to define complex anal fistula. From a practical point of view, a fistula that is difficult to manage has a higher risk of recurrence, poses a greater threat to continence and is classified as a complex fistula. Due to its difficulty in treating medically and surgically, Bhagandara (fistula-in-ano) is one of the eight major disorders classified

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Jalal, Mohammed Tanvir, Md Asaduz zaman, Tasnim Fatima, et al. "Factors Affecting Postoperative Complications and Recurrence in High Trans-sphincteric Fistula-in-Ano." SAS Journal of Surgery 11, no. 03 (2025): 333–37. https://doi.org/10.36347/sasjs.2025.v11i03.015.

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Background: High trans-sphincteric fistula-in-ano presents significant management challenges owing to its complex anatomy and high risk of recurrence. Despite advancements in surgical techniques, postoperative complications and recurrences remain major concerns. Identifying the factors that influence these outcomes is crucial for optimizing the treatment strategies. This study aimed to evaluate factors affecting postoperative complications and recurrence in patients undergoing surgery for high transsphincteric fistula-in-ano. Methods: This prospective observational study was conducted at the D

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Honnebier, M. B. O. M., D. S. Johnson, A. A. Parsa, A. Dorian, and F. D. Parsa. "Closure of Palatal Fistula with a Local Mucoperiosteal Flap Lined with Buccal Mucosal Graft." Cleft Palate-Craniofacial Journal 37, no. 2 (2000): 127–29. http://dx.doi.org/10.1597/1545-1569_2000_037_0127_copfwa_2.3.co_2.

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Objective Oro-nasal fistula is a common complication of palatoplasty. Current methods for fistula repair utilize mucoperiosteal flaps or pedicled flaps. These procedures are often cumbersome and leave a raw nasal surface, which may increase the incidence of postoperative risks and problems. In addition, the recurrence rate of the fistula is as high as 34%. We propose a simple two-layer method of fistula repair to avoid recurrences. Design A standard mucoperiosteal flap is raised on the oral side. A buccal mucosal graft is harvested from the cheeks and sutured to the nasal side of the flap that

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Charalampopoulos, Anestis, George Bagias, Dimitrios Papaconstantinou, et al. "Chronic Cryptoglandular Anal Fistulas: Surgical Outcomes; A Retrospective Case Control Study In 148 Patients with No Risk Factors for Recurrence." Journal of Clinical Research and Reports 12, no. 1 (2022): 01–07. http://dx.doi.org/10.31579/2690-1919/271.

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Background: The success rate of surgery for anal fistulas in the literature is variable, ranging between 30-90% due to differences in etiology, risk factors for recurrences and variety of surgical and innovative techniques used in therapy of anal fistulas. Aim: We try to evaluate the surgical outcomes in patients without any known risk factor for recurrence. Materials and Methods: A retrospective study with 148 patients was performed. Fistulas were classified according to: Parks system, the modified Parks’s and the St James’s University Hospital system. MRI, TRUS and EUA were the most useful e

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R. Alammar, Nahidh. "Management of fistula-in-ano - a common clinical problem." AL-QADISIYAH MEDICAL JOURNAL 3, no. 4 (2017): 185–94. http://dx.doi.org/10.28922/qmj.2007.3.4.185-194.

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A prospective study of 54 patients (age ranging from 18-54 years) operated for perianal fistula.These operations done in al- Diwanyiah teaching hospital and private hospital in period from: January 2003 to July 2005.To determine the incidence of low or high anal fistula, recurrence rate following surgery and effect of surgery as well as effect of previous procedures on the incontinence. The fifty four patients (54) were subdivided into two groupsâ€™ i.e. low and high anal fistulae and were operated by laying open technique (fistulotomy) for low fistulae and by two-stage fistulotomy, seton â€œc

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Rohit, Dushyant Kumar, Sarvesh Jain, and Grishmraj Pandey. "Effectiveness of ligation of intersphincteric fistula tract (LIFT) in the management of fistulas in ano." International Surgery Journal 4, no. 12 (2017): 3951. http://dx.doi.org/10.18203/2349-2902.isj20175158.

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Background: Fistula in ano is an abnormal connection between the epithelized surface of anal canal and usually the perianal skin. It is a benign treatable lesion of rectum and anal canal. Crypto glandular infection accounts for about ninety percent of the cases. The estimated prevalence of an anal fistula is 12 to 28/1000000 of the population per year with male to female ratio 1.8:1. Ligation of intersphincteric fistula tract is a new sphincter saving method with good result in the management of anal fistula. The aim of study was to evaluate the effectiveness and functional outcomes of the lig

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Duran, Y., IF Polat, H. Gokce, et al. "Interventional treatment of Anal Fistula: A Retrospective Analysis." World Journal of Advanced Research and Reviews 10, no. 2 (2021): 225–28. https://doi.org/10.5281/zenodo.5030851.

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Introduction: Anal fistula is a benign anorectal disease. Infection of Hermann and Desfosses anal glands is responsible for the formation of abscesses and/or fistulas. The main treatment is surgery but recurrence and sometimes incontinence are frequently observed. So to choose surgical methods of anal fistula treatment is very important. Aim: The aim of this retrospective study was to evaluate the reliability and feasibility of Video-assisted anal fistula treatment (VAAFT) at the anal fistula surgery. Materials and Methods: A retrospective analysis was performed on data collected during a 11-y

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Chinta, Anjini Suvarchala Devi, Samson Subhash Palaparthy, U. Deepthi N, Sirisha Bevunapalli, and Bevunapalli Rakesh. "A Study on Different Treatment Modalities in the Management of Anal Fistula." International Journal of Pharmaceutical and Clinical Research 16, no. 10 (2024): 1254–56. https://doi.org/10.5281/zenodo.14176662.

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<strong>Introduction:</strong> Anal fistula, a common anorectal condition, is treated using various modalities like fistulotomy, fistulectomy, fibrin glue, fistula plug insertion, ligation of the intersphincteric tract (LIFT), and video-assisted anal fistula treatment (VAAFT). Each has distinct advantages and challenges. This study aimed to assess the efficacy, complications, and adherence to treatment principles of these five techniques. <strong>Methods: </strong>This cross-sectional study at Konaseema Institute involved adult patients with primary or recurrent anal fistulas. T

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Chen, Shan-Zhong, Kui-Jun Sun, Yi-Fan Gu, et al. "Proposal for a new classification of anorectal abscesses based on clinical characteristics and postoperative recurrence." World Journal of Gastrointestinal Surgery 16, no. 11 (2024): 3425–36. http://dx.doi.org/10.4240/wjgs.v16.i11.3425.

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BACKGROUND Current surgical procedures for anorectal abscesses, including incision and drainage alone or combined concurrent fistulotomy, remain controversial primarily due to the unpredictability of postoperative recurrence or the progression to anal fistula. AIM To evaluate factors that predict postoperative recurrence of anorectal abscesses and propose a new classification to guide surgical procedures. METHODS In this retrospective study, 525 patients with anorectal abscesses treated by incision and drainage alone, at a tertiary general hospital from August 2012 to July 2022, were included.

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He, Sicheng, Wei Lu, Xun Ding, et al. "Clinical responses to vemurafenib in postoperative recurrence of papillary thyroid carcinoma with esophageal fistula: A case report." Medicine 103, no. 11 (2024): e37513. http://dx.doi.org/10.1097/md.0000000000037513.

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Background: While papillary thyroid carcinoma (PTC) generally exhibits a favorable prognosis post-surgery, the poorly differentiated subtype presents elevated rates of postoperative recurrence. Certain aggressive cases demonstrate invasive behavior, compromising adjacent structures and leading to a poor prognosis. This study delineates a unique case of postoperative PTC recurrence, complicated by esophageal fistula, that showed favorable outcomes following brief Vemurafenib treatment. Patient description: A 64-year-old female patient underwent surgical resection for PTC, subsequently experienc

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Dualim, Diana Melissa, Michael Pak-Kai Wong, Siti Mayuha Rusli, Abdel Latif Khalifa Elnaim Ali, and Ismail Sagap. "Ligation of the Intersphincteric Fistula Tract as an Emergency Treatment for Cryptoglandular Anal Fistula." Malaysian Journal of Medical Sciences 31, no. 1 (2024): 62–70. http://dx.doi.org/10.21315/mjms2024.31.1.5.

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Introduction: Ligation of the intersphincteric fistula tract (LIFT) is a sphincter-preserving procedure for treating anal fistula of cryptoglandular origin. Our prospective study aimed to determine the postoperative outcomes of patients undergoing LIFT in emergency and elective settings. Methods: This was a single-centre prospective observational study of the LIFT procedure for the treatment of anal fistulas. The differences in the 6-month postoperative outcomes between the emergency and elective procedures were analysed, including the healing rate, healing time, recurrence rate, recurrence ti

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Slaman, Annelijn, Wietse Eshuis, Wim Van Boven, Suzanne Gisbertz, and Mark I. Van Berge Henegouwen. "PS02.173: SURGICAL MANAGEMENT OF TRACHEOESOPHAGEAL FISTULAS IN PATIENTS WITH ESOPHAGEAL CANCER." Diseases of the Esophagus 31, Supplement_1 (2018): 171. http://dx.doi.org/10.1093/dote/doy089.ps02.173.

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Abstract Background Tracheoesophageal fistula is a severe complication that can occur in patients who are treated for esophageal cancer. There is currently no consensus about the best surgical treatment. The aim of this study was to evaluate the results after surgical treatment of tracheoesophageal fistulas in patients with a history of esophageal cancer in a tertiary referral center. Methods Consecutive patients with a history of esophageal cancer who were surgically treated for tracheoesophageal fistulas between January 2010 and December 2017 were included. Primary outcome was success rate a

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Jamhari, Muhammad Arif Hakim, Mohammad Ayodhia Soebadi, and Johan Renaldo. "Urogenital Fistula Patients Profile at a Tertiary Hospital in Surabaya, Indonesia from 2015 to 2021." Folia Medica Indonesiana 58, no. 3 (2022): 251–55. http://dx.doi.org/10.20473/fmi.v58i3.34903.

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Highlights: Vesicovaginal fistula is the most common urogenital fistula. The transvaginal approach is preferred in treating urogenital fistula. Abstract: A fistula is an extra-anatomical channel between two or more hollow organs, or between an organ and the body surface. WHO estimated there were two million patients with untreated urogenital fistula, with 130,000 new cases every year. The ideal approach for urogenital fistula depends on surgeon preference and individual clinical characteristics. Accordingly, we aimed to determine the profile of patients with a urogenital fistula at a tertiary

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Bacalbasa, Nicolae, Irina Balescu, Claudia Stoica, et al. "Total pelvic exenteration for pelvic recurrence with complex recto-vaginal and vesicovaginal fistula after surgically treated endometrial cancer." Romanian Medical Journal 69, S3 (2022): 60–62. http://dx.doi.org/10.37897/rmj.2022.s3.20.

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Local recurrences after surgically treated endometrial cancer with associated vesical and rectal fistula represent a particular eventuality in which the only chance for cure is represented by extended pelvic resections. The aim of the current paper is to present the case of a 62 year old patient diagnosed with a local recurrence invading the urinary bladder and the rectum leading to the development of a complex fistula involving both the urinary and digestive tract after surgically treated endometrial cancer. Although initially the patient was not submitted to pelvic radiation therapy, at the

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Martinez, Jose L., Enrique Luque-De-LeÓN, Luis Manuel Souza-Gallardo, Maricela JimÉNez-LÓPez, and Eduardo Ferat-Osorio. "Results after Definitive Surgical Treatment in Patients with Enteroatmospheric Fistula." American Surgeon 84, no. 1 (2018): 28–35. http://dx.doi.org/10.1177/000313481808400115.

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As enteroatmospheric fistulas (EAF) lack healthy overlying tissue, spontaneous healing is very unlikely. Our aim was to identify risk factors for recurrence and mortality after definitive surgical treatment for EAF. Sixty-two consecutive patients with a diagnosis of EAF were submitted to definitive surgical repair (fistula resection and primary anastomosis) during a 6-year period. Several patient, disease, and operative variables were assessed as risk factors associated to our endpoints: recurrence and mortality. All patients were followed-up until hospital discharge or death. Univariate and m

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Garag, Sushila, and Basavaraj Nagur. "A comparative study of laying open of wound vs primary closure in low fistula in ano." International Surgery Journal 6, no. 7 (2019): 2561. http://dx.doi.org/10.18203/2349-2902.isj20192993.

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Background: Perianal fistulas remain a surgical treatment challenge in colorectal practice due to high recurrence rates and the risk of postoperative wound infection and incontinence. Anal fistula represents one of the most frequent anorectal diseases.Methods: This is a randomized comparative prospective study of 30 cases of fistula-in-ano presenting at the surgical OPD of Almeen Medical College and Research Institute from 1 September 2017 to 31 june 2018.Results: In our study the age of the patient varied from 25-60 years, patient’s wound healed in 3-4 weeks in those who underwent open fistul

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Mohapatra, Jyotiranjan, Rakesh Ranjan Swain, Ashirbad Satapathy, and Diptish Kumar Sahoo. "THE ROLE OF MAGNETIC RESONANCE IMAGING IN PREOPERATIVE EVALUATION OF PERIANAL FISTULA." International Journal of Medicine and Public Health 14, no. 3 (2024): 629–34. http://dx.doi.org/10.70034/ijmedph.2024.3.113.

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Background: Magnetic resonance imaging (MRI) has become the preferred method for examining perianal fistulas before surgery. This study aimed to evaluate how well MRI can identify different types and severities of perianal fistulas, compare these findings to what was observed during surgery, and determine if MRI can help prevent problems after surgery. Materials and Methods: This study examined the accuracy of MR fistulography in predicting the location and extent of perianal fistulas in 110 patients. The study compared MR fistulography findings with surgical outcomes over 18 months. Results:

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