Academic literature on the topic 'High Complex Fistula'

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Journal articles on the topic "High Complex Fistula"

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Song, Yi-Huan, Jian-Ming Qiu, Guan-Gen Yang, Dong Wang, A.-Li Lin, and Kan Xu. "Differential gene expression in patients with anal fistula reveals high levels of prolactin recepetor." Vojnosanitetski pregled 74, no. 5 (2017): 456–62. http://dx.doi.org/10.2298/vsp160210262s.

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Background/Aim. There are limited data examining variations in the local expression of inflammatory mediators in anal fistulas where it is anticipated that an improved understanding of the inflammatory milieu might lead to the potential therapeutic option of instillation therapy in complicated cases. The aim of the present study was to examine prolactin receptors (PRLR) as inflammatory markers and to correlate their expression with both the complexity of anal fistulas and the likelihood of fistula recurrence. Methods. Microarray was used to screen the differentially expressed gene profile of a
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Afzal, Muhammad, Muhammad Junaid Shah, Mujeeb Alam Khan, and Aftab Ullah. "Frequency of Healing of Fistula in Patients Undergoing Video Assisted Anal Fistula Treatment in High Lying Fistula in Ano." Pakistan Journal of Medical and Health Sciences 16, no. 11 (2022): 172–73. http://dx.doi.org/10.53350/pjmhs20221611172.

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Background: Fistula-in-ano is an abnormal tract that usually connects rectal mucosa and perianal skin thus accounting upto 90% cases with an incidence of 5.6/100.000 in women while 12.3/100.000 in men. Aim: To determine the frequency of healing in patients with high lying fistlua in ano undergoing VAAFT. Study design: Cross-sectional study. Methodology: Patients (n=153) were enrolled during study. All enrolled patients had DRE and proctoscopy before start of treatment. Fistuloscope was used to diagnose high lying fistula during examination. Metronidazole antibiotic was given to all patients bo
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Sreekumar, S., R. V. Subramanian, J. Akhter, and M. Muralidharan. "A study on validity of Goodsall's rule in accurately predicting the course of anal fistulous tract; comparison with MRI and surgical findings." Sri Lanka Journal of Surgery 43, no. 1 (2025): 12–17. https://doi.org/10.4038/sljs.v43i1.9176.

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Background: Fistula-in-ano is a granulation tissue lined tract that opens deeply in the anal canal or rectum and superficially on the perianal skin. Most of these fistulae are formed from ano rectal abscess which burst spontaneously. The secondary causes of fistula in ano include conditions such as Crohn’s disease, Tuberculosis and Carcinoma rectum. Fistula in ano can be broadly classified into Anterior and Posterior, Low lying or High Fistula in ano as well as Simple and Complex fistula in ano. Goodsall’s rule depicts the relationship of the external opening of the fistula with the course of
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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>&nbsp;To asses role of MRI in perianal fissure and fistula and to evaluate complications.&nbsp;<strong>Materials and Methods:&nbsp;</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.&nbsp;<strong>Results:&nbsp;</strong>A total of 50 cases of perianal fissure/fistula, most patients were in age
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International, Journal of Medical Science and Innovative Research (IJMSIR). "Laser Therapy: A Breakthrough for Treating Complex High Intersphincteric Fistulas." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 4 (2024): 61–67. https://doi.org/10.5281/zenodo.15424366.

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<strong>Abstract</strong> <strong>Introduction: </strong>High Intersphincteric Tracts can be present in high complex, intersphincteric&nbsp;&nbsp; or complex transsphincteric fistulas. The tracts usually seen traversing up the intersphincteric plane while performing the Trans anal opening of intersphincteric plane, they can end blind or rectal perforation can be traced up. Treating these very thin tracts is challenging and if untreated, can cause of recurrence of fistula.&nbsp; <strong>Methods: </strong>Retrospective analysis of 12 patients with high complex fistula treated with trans anal ope
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Wang, Ya-Qun, Yan Wang, Xiao-Feng Jia, Qiao-Jing Yan, and Xue-Ping Zheng. "High complex anal fistula managed by the modified transanal opening of the intersphincteric space via the inter-sphincteric approach: A case report." World Journal of Radiology 16, no. 10 (2024): 552–60. http://dx.doi.org/10.4329/wjr.v16.i10.552.

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BACKGROUND High complex anal fistulas are epithelialized tunnels, with the main fistula piercing above the deep external sphincter and the internal opening approaching the dentate line. Conventional surgical procedures for high complex anal fistulas remove most of the external sphincter and damage the anorectal ring. Postoperative loss of anal function can cause physical and mental damage. Transanal opening of the intersphincteric space (TROPIS) is an effective procedure that completely preserves the external anal sphincter. However, its clinical application is limited by challenges in the loc
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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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Garg, Pankaj, Kaushik Bhattacharya, Vipul D. Yagnik, and G. Mahak. "Recent advances in the diagnosis and treatment of complex anal fistula." Annals of Coloproctology 40, no. 4 (2024): 321–35. http://dx.doi.org/10.3393/ac.2024.00325.0046.

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Anal fistula can be a challenging condition to manage, with complex fistulas presenting even greater difficulties. The primary concerns in treating this condition are a risk of damage to the anal sphincters, which can compromise fecal continence, and refractoriness to treatment, as evidenced by a high recurrence rate. Furthermore, the treatment of complex anal fistula involves several additional challenges. Satisfactory solutions to many of these obstacles remain elusive, and no consensus has been established regarding the available treatment options. In summary, complex anal fistula has no es
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Husain, Musharraf, Mir Mujtaba Ahmad, Tajamul Rashid, and Ajay Kumar Thakral. "Ligation of intersphincteric fistula tract for complex fistula in ano at a tertiary care centre in Northern India: A 3-year prospective study." Journal of Clinical Sciences 22, no. 1 (2025): 27–30. https://doi.org/10.4103/jcls.jcls_54_24.

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ABSTRACT Background: An anal fistula is an abnormal pathological tract between the anal canal and the perianal skin which primarily originates from the crypto-glandular infection. The estimated prevalence of anal fistula is 1/10,000 per year and male to female ratio is 1.8:1. Various treatment options available are: fistulotomy, application of fibrin glue, endorectal advancement flap, fistula plug, VAAFT (video-assisted technique) and ligation of the intersphincteric fistula tract (LIFT). Every procedure has its own merits and demerits which need to be evaluated. The study aimed to assess the
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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>&nbsp;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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Book chapters on the topic "High Complex Fistula"

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Tanaka, Michihiro, Keisuke Kadooka, Takafumi Mitsutake, Shimpei Tsuboki, and Kotaro Ueda. "Efficacy of High-Resolution Cone-Beam CT for the Endovascular Treatment of Dural Arteriovenous Fistulas." In Acta Neurochirurgica Supplement. Springer Nature Switzerland, 2025. https://doi.org/10.1007/978-3-031-89844-0_9.

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Abstract Purpose: The analysis of the microstructure of dural arteriovenous fistulas (DAVFs) plays a crucial role in achieving the successful embolization of DAVFs associated with complex microanatomy. Recent advancements in high-resolution cone-beam computed tomography (CBCT) enable detailed visualizations of the microstructure of the shunt point. In this study, we retrospectively evaluated the efficacy of this imaging modality in terms of the clinical and angiographic outcomes of the endovascular approach. Methods: We retrospectively analyzed a total of 83 cases of dural arteriovenous fistul
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Xiao, Jerry, Erin Santos, Nana-Yaw Bonsu, et al. "Anal Fistula: From Diagnosis and Classification to Surgical Management." In Anorectal Disorders - From Diagnosis to Treatment [Working Title]. IntechOpen, 2024. http://dx.doi.org/10.5772/intechopen.1003888.

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In this chapter, we discuss the classification and diagnosis of anal fistulas and the surgical approaches for fistula repair. According to the Parks classification, there are four main fistula types based on the location of the fistula tract in relation to the external sphincter: intersphincteric, transsphincteric, suprasphincteric, and extrasphincteric. One of the conventional repair techniques for low transsphincteric fistulas involves cutting open the tract by lay open fistulotomy. Control of a complex fistula tract with a draining seton is used as the first of a two-stage repair or as defi
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Karlović, Damir, Dorian Kršul, Ante Jerković, Đordano Bačić, and Marko Zelić. "Anal Fistula: Contemporary View of Complex Problem." In Benign Anorectal Disorders - An Update [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.102752.

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Anal fistulas are still a huge challenge for surgeons because of their high incidence, high recurrence rate, prolonged healing time and possible complications such as fecal incontinence. Even though many surgical options have been described, we still do not have the standardized procedure. Patients who suffered from this problem have a low quality of life because of constant anal pain and soiling from anal tracts. Aside from cryptoglandular etiology, fistulas associated with Crohn’s disease are separate entity that requires a multidisciplinary approach. This chapter will be an overview of mode
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Kršul, Dorian, Damir Karlović, Đordano Bačić, and Marko Zelić. "Sphincter Preserving Techniques in Anal Fistula Treatment." In Current Topics in Colorectal Surgery [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.99547.

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Complex anal fistulas present a challenge to even a seasoned colorectal surgeon due to high rate of recurrence and a real possibility of fecal incontinence if treated with conventional methods (e.g., fistulotomy, fistulectomy, seton placement). Although the illness is benign in nature, it can significantly decrease patient’s quality of life because of symptoms like pain and soiling. Given those facts, minimally invasive or sphincter preserving methods of treatment were introduced. Some of these include: Video-assisted anal fistula treatment (VAAFT), ligation of intersphincteric fistula tract (
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Baird, Lissa C. "Vein of Galen Malformation." In Pediatric Neurosurgery. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190617073.003.0018.

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Vein of Galen malformations consist of multiple arteriovenous fistulas shunting arterial blood into the persistent embryonic prosencephalic vein of Markowski. The mural type are characterized by fewer fistulas and commonly present with progressive hydrocephalus. The choroidal type malformations have more complex and numerous fistulas, have higher flow, and commonly present with severe high-output cardiac failure. Transfemoral transarterial embolization at the fistula sites of the malformation for complete obliteration of arteriovenous shunting is the optimal intervention. An interdisciplinary
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K.T. Voon, Kenneth. "Understanding New Ideas in Cryptoglandular Fistula-in-Ano." In Current Topics in Colorectal Surgery [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.100027.

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Outcomes of surgical treatment for anorectal abscesses and chronic fistulas varies widely, as there is lack of unified classification and systematic surgical approach to address a wide range of disease pattern. Acute anorectal abscess and chronic fistula-in-ano should be considered the same disease at both end of a spectrum. This article describes in detail the pathogenesis and relevant anorectal anatomy to aid understanding of a new concept of classifying anorectal abscess and fistula based on natural patterns. A better understanding of patterns allows more accurate surgical treatment. Recent
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Palavecino, Martin, and Juan Pekolj. "Biliary fistula, gallstone ileus, and Mirizzi syndrome." In Liver, Gall Bladder, and Bile Ducts, edited by Mohamed Rela, Pierre-Alain Clavien, Samiran Nundy, and Dirk J. Gouma. Oxford University PressOxford, 2023. http://dx.doi.org/10.1093/med/9780192862457.003.0034.

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Abstract Biliary fistula, gallstone ileus, and Mirizzi syndrome are clinical scenarios related to a prolonged history of gallstone disease. Preoperative diagnosis is crucial for correct treatment and is still challenging. Computed tomography scan and magnetic resonance cholangiopancreatography have high diagnostic sensitivity, specificity, and accuracy. Biliary fistula is an abnormal communication between the gall bladder and another organ. The most common is a cholecystoduodenal fistula. Gallstone ileus is a mechanical bowel obstruction due to an impacted gallstone. This is a high morbidity a
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Lee, Christine U., and James F. Glockner. "Case 11.2." In Mayo Clinic Body MRI Case Review, edited by Christine U. Lee and James F. Glockner. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199915705.003.0280.

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31-year-old woman with a history of Crohn colitis and rectovaginal fistula, now presenting with new, left lower quadrant pain Axial fat-suppressed FSE T2-weighted images (Figure 11.2.1) demonstrate a complex high-signal-intensity lesion in the left adnexa. Notice also pelvic ascites and a tubular cystic structure traversing the ascites within the posterior right pelvis. Axial postgadolinium 2D SPGR images (...
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Wu, Youtu. "Neuroendoscopic Techniques in the Treatment of Hydrocephalus." In Frontiers in Hydrocephalus [Working Title]. IntechOpen, 2023. http://dx.doi.org/10.5772/intechopen.111508.

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Neuroendoscopic techniques have been used to treat hydrocephalus for more than 100 years. With the personalized design of surgical approaches, increased knowledge of ventricular anatomy, and improved neuroendoscopic equipment, the last 20 years have witnessed tremendous advances in the development of neuroendoscopic technology, especially in the treatment of hydrocephalus. Except for obstructive hydrocephalus, the application of neuroendoscopic technology in the field of hydrocephalus is also expanding and has received good results, mainly in the fields of pediatric hydrocephalus and communica
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Uhlig, Holm H. "Congenital abnormalities of the gastrointestinal tract." In Oxford Textbook of Medicine, edited by Jack Satsangi. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198746690.003.0310.

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Congenital abnormalities of the gastrointestinal tract can be divided into macroscopic anatomical abnormalities and monogenically determined, high-penetrance functional defects that present either directly postnatally or during the first few months of life. On occasion, symptoms may be delayed for months or years even in patients with substantial anatomical defects. Anatomical and structural abnormalities can affect any part of the gut. These include oesophageal atresia and tracheo-oesophageal fistula, anterior abdominal wall defects, congenital pyloric stenosis, atresia and stenosis of the sm
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Conference papers on the topic "High Complex Fistula"

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Jodko, Daniel, Damian Obidowski, Piotr Reorowicz, and Krzysztof Jozwik. "Is the Maturation of Arteriovenous Fistulas a Mechanical or Biological Problem?" In ASME 2016 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/imece2016-65655.

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During the maturation the high pressure blood from the artery inflows directly to the vein, extends its diameter, and finally the blood flow rate in the vein is even 500-times greater than normal one. The changes of the wall shear stress (WSS) in the vein are thought to play a key role in the remodelling of its wall. However, this process is still not well understood. The aim of this paper is to show an innovative approach for modelling of the vein deformation during the maturation process of a-v fistulas. Dilation of the vein was modelled as two-step complex biomechanical process. The obtaine
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Bisinotto Júnior, Lúcio Mauro, Rosemar Macedo Sousa Rahal, Leonardo Ribeiro Soares, et al. "Chronic non-granulomatous mastitis with positive culture for Mycobacterium tuberculosis." In Brazilian Breast Cancer Symposium 2023. Mastology, 2023. http://dx.doi.org/10.29289/259453942023v33s1056.

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Objective: The objective of this study was to describe a case of chronic mastitis with multiple recurrences and positive culture for Mycobacterium tuberculosis. Methods: The information for this case report was obtained via a consent form, and the study was approved by the Research Ethics Committee of the Universidade Federal de Goiás HC/UFG – GO, with CAAE number: 11983719.0.0000.5078. Results: Patient N.F.R., female, 59 years old, with systemic arterial hypertension, dyslipidemia, and smoker. On July 2020, a hypoechoic, heterogeneous, lobulated mammary nodule was identified on the left, meas
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Orru, E., M. Marosfoi, N. Patel, and A. Wakhloo. "E-034 High-resolution contrast-enhanced cone beam CT in planning of endovascular treatment for complex dural arteriovenous fistulae." In SNIS 17TH ANNUAL MEETING. BMJ Publishing Group Ltd., 2020. http://dx.doi.org/10.1136/neurintsurg-2020-snis.70.

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