“Core out” or “curettage” in rectal advancement flap for cryptoglandular anal fistula

2015 ◽  
Vol 30 (5) ◽  
pp. 613-619 ◽  
Author(s):  
Natalia Uribe ◽  
Zutoia Balciscueta ◽  
Miguel Mínguez ◽  
Ma. Carmen Martín ◽  
Manuel López ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Advancement Flap ◽  
Rectal Advancement Flap

Rectal advancement flap for complex anal fistula—a video vignette

2021 ◽  
Author(s):  
Natalia Uribe ◽  
Zutoia Balciscueta ◽  
M. Carmen Martín ◽  
Janine Tabet ◽  
Manuel López
Keyword(s):  
Anal Fistula ◽  
Advancement Flap ◽  
Rectal Advancement Flap ◽  
Complex Anal Fistula ◽  
Video Vignette

scholarly journals Healing of rectal advancement flap for anal fistula in patients with and without Crohn’s disease: a retrospective cohort analysis

2021 ◽  
Author(s):  
Claudia Seifarth ◽  
Kai S. Lehmann ◽  
Cristoph Holmer ◽  
Ioannis Pozios
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Anal Fistula ◽  
Healing Rate ◽  
Advancement Flap ◽  
Patient Specific ◽  
Anal Fistulas ◽  
Surgical Closure ◽  
Rectal Advancement Flap ◽  
Fistula Healing

Abstract Background Surgical closure of anal fistulas with rectal advancement flap is an established standard method, but in some cases, it has a high degree of healing failure. There are few studies in literature with a small number of cases examining differences between patients with and without Crohn's disease (CD). The aim of this study was to identify risk factors for anal fistula healing failure after advancement flap between patients with cryptoglandular fistulas and patients with CD. Methods From January 2010 to October 2020, 155 rectal advancement flaps (CD patients = 55, non-CD patients = 100) were performed. Patients were entered into a prospective database and retrospectively analyzed for healing rates. Results Median follow up was 189 days (95 % CI: 109–269). Overall complication rate was 5.8 %. Total healing rate for all rectal advanced flaps was 56 %. CD patients were younger (33 vs. 43 years, p < 0.001), more often female (76 vs. 30 %, p < 0.001), had more immunosuppressant medication (65 vs. 5 %, p < 0.001), more vaginal fistulas (29 vs. 8 %, p = 0.001) and more protective stomas (49 vs. 2 %, p < 0.001) than patients without CD. However, there was no difference in the healing rate of patients with or without CD (47 % vs. 60 %, p = 0.088). Conclusions Patients with anal fistulas without and with Crohn’s disease have the same healing rate. Although patients with CD differ in their patient-specific characteristics, no independent factors for the occurrence of anal fistula healing failure could be determined. Trial registration: Not applicable due to the retrospective study design.

Tu1763 Results of Ligation of Intersphincteric Fistula Tract and Advancement Flap for Treatment of Complex Transsphincteric Anal Fistula: Anatomy of the Recurrence

2015 ◽  
Vol 148 (4) ◽  
pp. S-1176
Author(s):  
Darcy Shaw ◽  
Charles Ternent ◽  
Sean Langenfeld ◽  
Garnet Blatchford ◽  
Jennifer S. Beaty ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Advancement Flap ◽  
Fistula Tract ◽  
Intersphincteric Fistula

scholarly journals Fibrin glue and transanal rectal advancement flap for high transsphincteric perianal fistulas; is there any advantage?

2008 ◽  
Vol 23 (7) ◽  
pp. 697-701 ◽  
Author(s):  
Paul J. van Koperen ◽  
Jan Wind ◽  
Willem A. Bemelman ◽  
J. Frederik M. Slors
Keyword(s):  
Fibrin Glue ◽  
Advancement Flap ◽  
Perianal Fistulas ◽  
Rectal Advancement Flap

Mucosal advancement flap for recurrent complex anal fistula: a repeatable procedure

2018 ◽  
Vol 34 (1) ◽  
pp. 197-200 ◽  
Author(s):  
Michele Podetta ◽  
Cosimo Riccardo Scarpa ◽  
Guillaume Zufferey ◽  
Karel Skala ◽  
Frederic Ris ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Advancement Flap ◽  
Complex Anal Fistula

Endorectal advancement flap for complex anal fistula: does flap configuration matter?

2019 ◽  
Vol 21 (5) ◽  
pp. 581-587 ◽  
Author(s):  
S. Yellinek ◽  
D. Krizzuk ◽  
T. Moreno Djadou ◽  
D. Lavy ◽  
S. D. Wexner
Keyword(s):  
Anal Fistula ◽  
Advancement Flap ◽  
Endorectal Advancement Flap ◽  
Complex Anal Fistula

Redo Repair of a Recurrent Rectovaginal Fistula With Rectal Advancement Flap

2020 ◽  
Vol 63 (7) ◽  
pp. 1000-1000
Author(s):  
Adam Studniarek ◽  
Daniel J. Borsuk ◽  
Jean-Sébastien Trépanier ◽  
Kunal Kochar ◽  
John J. Park ◽  
...  
Keyword(s):  
Rectovaginal Fistula ◽  
Advancement Flap ◽  
Rectal Advancement Flap
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