Permacol™ Collagen Paste Injection in Anal Fistula Treatment: A Retrospective Study with One-Year Follow-Up

2018 ◽  
Vol 35 (8) ◽  
pp. 1232-1238 ◽  
Author(s):  
Mehmet Bayrak ◽  
Yasemin Altıntas
Keyword(s):  
Retrospective Study ◽  
Anal Fistula ◽  
Fistula Treatment ◽  
One Year

scholarly journals Facial reanimation by hypoglossal-facial neurorrhaphy

2014 ◽  
Vol 33 (01) ◽  
pp. 17-21
Author(s):  
Yvens Barbosa Fernandes ◽  
Ricardo Ramina ◽  
Hélio Sérgio Fernandes Cyrino ◽  
Marcílio Silva Prôa Júnior
Keyword(s):  
Retrospective Study ◽  
Facial Nerve ◽  
Facial Palsy ◽  
Vestibular Schwannomas ◽  
Surgical Results ◽  
Good Outcome ◽  
Facial Reanimation ◽  
Radical Removal ◽  
One Year

Abstract Objective: Facial palsy may still occur after removal of large vestibular schwannomas. The aim of this paper is to describe the outcome of patients submitted to facial reanimation and make a concise revision about modern techniques available to reanimate a paralyzed face. Methods: A retrospective study of was performed about the surgical results of 12 patients submitted to hypoglossal-facial neurorrhaphy. These patients were submitted to radical removal of large vestibular schwannomas (> 3 cm) before and anatomic preservation of the facial nerve was not possible. Results: In 10 cases (83%) patients had a good outcome with House-Brackmann facial grading III. In two other cases the facial grading was IV and VI. All patients were follow-up for at least one year after the reanimation procedure. Conclusion: Hypoglossal-facial neurorrhaphy is a very useful technique to restore facial symmetry and minimize the sequela of a paralyzed face. Long last palsy seemed to be the main reason of poor outcome in two cases.

scholarly journals Immediately Restored Fixed Full-arch Prosthesis on Implants Placed in Both Fresh and Healed Sockets by Means of Flat-one-bridge Technique. A 7-year Retrospective Study. Running Head: Prosthetic Passivation of Implants in Full-arch Bridges

2021 ◽  
Author(s):  
Enrica Giammarinaro ◽  
Simone Marconcini ◽  
Ugo Covani ◽  
Andrea Mascolo ◽  
Marco Del corso ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Clinical Success ◽  
Implant Survival ◽  
Long Term Outcomes ◽  
Arch Bridges ◽  
One Year ◽  
Provisional Restoration ◽  
Running Head

Abstract Background: Aim of this retrospective study was to document the long-term clinical efficacy of a surgical-prosthetic technique (Flat-one-Bridge) involving immediate restoration of both post-extractive and non-post-extractive implants supporting full-arch restorations. Methods: Implants were placed adapting the axis to the available bone. Flat definitive abutments were connected at surgery and never disconnected in order to compensate for eventual implants dis-parallelism. Bone grafting was performed when needed. Patients received a screw-retained provisional restoration within 48 hours of surgery and a final screw-retained prosthesis within one year. Results: Sixty-six patients received 494 implants distributed in 75 prosthesis. The median follow-up was 86 months (range 82-168 months). Only three implants failed at the last follow-up. Implant survival was 99.6%. Conclusion: The Flat-one-Bridge prosthetic protocol is a viable procedure with excellent long-term outcomes. No difference could be observed between post-extractive and non post-extractive implants in terms of clinical success.

scholarly journals Video-assisted anal fistula treatment: a high volume unit initial experience

2018 ◽  
Vol 100 (1) ◽  
pp. 37-41 ◽  
Author(s):  
FY Cheung ◽  
ND Appleton ◽  
S Rout ◽  
R Kalaiselvan ◽  
JA Nicholson ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Anal Fistula ◽  
High Volume ◽  
Initial Experience ◽  
Perianal Fistulas ◽  
Video Assisted ◽  
Difficult Condition ◽  
Fistula Treatment

Introduction Perianal fistulas are a common problem. Video-assisted anal fistula treatment is a new technique for the management of this difficult condition. We describe our initial experience with the technique to facilitate the treatment of established perianal fistulas. Methods We reviewed a prospectively maintained database relating to consecutive patients undergoing video-assisted anal fistula treatment in a single unit. Results Seventy-eight consecutive patients had their perianal fistulas treated with video-assistance from November 2014 to June 2016. Complete follow-up data were available in 74 patients, with median follow-up of 14 months (interquartile range 7–19 months). There were no complications and all patients were treated as day cases. Most patients had recurrent disease, with 57 (77%) having had previous fistula surgery. At follow-up, 60 (81%) patients reported themselves ‘cured’ (asymptomatic) including 5 patients with Crohn’s disease and one who had undergone 10 previous surgical procedures. Logistical stepwise regression did not demonstrate any statistically significant factors that may have been considered to affect outcome (age, gender, diabetes, previous I&D, Crohn’s disease, smoking, type of fistula). Conclusions Our data have shown that video-assisted anal fistula treatment is safe and effective in the management of perianal fistulas in our patients and this suggests it may be applied to all patients regardless of comorbidity, underlying pathology or type of fistula.

Treatment of Complex Anal Fistula by Video-Assisted Anal Fistula Treatment Combined with Anal Fistula Plug: A Single-Center Study

2021 ◽  
pp. 155335062199292
Author(s):  
Yuru Zhang ◽  
Fei Li ◽  
Tuanjie Zhao ◽  
Feng Cao ◽  
Yamin Zheng ◽  
...  
Keyword(s):  
Wound Healing ◽  
Anal Fistula ◽  
Healing Time ◽  
Sphincter Function ◽  
Anal Sphincter Function ◽  
Fistula Plug ◽  
Anal Fistula Plug ◽  
Fistula Treatment ◽  
Wound Healing Time

Objective. The surgical treatment of complex anal fistulae is very challenging because of the incidence of incontinence after traditional approaches. There are no studies on the role of video-assisted anal fistula treatment (VAAFT) combined with anal fistula plug (AFP) in the complex anal fistulae. The aim of this study was to demonstrate the efficacy of treating complex anal fistulae using VAAFT combined with AFP. Method. This was a retrospective, nonrandomized observational study. 57 consecutive patients with complex anal fistulae who had undergone the VAAFT with AFP in our hospital between April 2016 and December 2019 were included. The primary outcomes were the cure rate, recurrence rate, and Wexner incontinence scores; the secondary outcomes were surgery time, blood loss, wound healing time postoperatively, pain, and patient satisfaction. Results. All 57 patients completed the surgery and follow-up, with an average follow-up time of 28 months; 6 patients suffered with recurrence (recurrence rate: 10.5%). The average surgery time was 57.9 minutes, and the average wound healing time was 46 days. There were no severe postoperative complications, and anal sphincter function was protected in all patients. Conclusions. The treatment of complex anal fistula by VAAFT combined with AFP is safe and effective, has a high healing rate and few postoperative complications, and is a promising surgery that can effectively protect the patient’s anal sphincter function.

Video-Assisted Anal Fistula Treatment (VAAFT) for complex anorectal fistula: efficacy and risk factors for failure at 3-year follow-up

2020 ◽  
Vol 24 (7) ◽  
pp. 741-746 ◽  
Author(s):  
L. Regusci ◽  
F. Fasolini ◽  
P. Meinero ◽  
G. Caccia ◽  
G. Ruggeri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Anal Fistula ◽  
Anorectal Fistula ◽  
Video Assisted ◽  
Fistula Treatment

scholarly journals The success of laser ablation of fistula tract (laft) technique in anal fistula treatment: Early results of a tertiary center

2021 ◽  
Vol 38 (2) ◽  
pp. 192-196
Author(s):  
İsmail Alper TARIM ◽  
Murat DEREBEY ◽  
Can AKGUN ◽  
Vahit MUTLU ◽  
Fatih ATALAY ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Anal Fistula ◽  
Fistula Tract ◽  
Early Results ◽  
Tertiary Center ◽  
Surgical Options ◽  
The Mean ◽  
Fistula Treatment ◽  
Healing Group

Laser Ablation of the Fistula Tract (LAFT) is a newly defined technique for anal fistula treatment. Our aim in this study is to evaluate the effectiveness of the LAFT technique and to discuss the precise indications and limitations of the technique by sharing our own truths and mistakes over our early results. All patients with anal fistulas who were treated LAFT tecnique by same team from April 2019 until March 2020 at the our center, were evaluated in this study, retrospectively. While the patients who failed LAFT were included in the "Reccurrence after LAFT" group, the patients with successful LAFT were included in the "Healing" group. Differences between the groups were investigated. LAFT technique was applied to 19 patients in the specified period. Twelve (63%) of the cases were male and 7 (37%) were female, and the mean age was 45±14.5. The mean postoperative follow-up time was 13±3.4 months. Eleven cases had undergone surgery at least once with the diagnosis of anal fistula. Loose seton was applied in only 4 (25%) cases. It was observed that only 7 (37%) patients recovered with the LAFT technique (Table 1). LAFT was found to be more successful in patients who had never been operated before (p = 0.048, Table 2). In conclusion, LAFT technique is more successful in primary anal fistula cases and this technique should definitely be among the surgical options for anal fistula treatment.

scholarly journals Autotransplantation of mature impacted tooth to a fresh molar socket using a 3D replica and guided bone regeneration: a one year retrospective study

2019 ◽  
Author(s):  
Ye Wu ◽  
Jiaming Chen ◽  
Fuping Xie ◽  
Huanhuan Liu ◽  
Gang Niu ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Success Rate ◽  
Clinical Relevance ◽  
Third Molar ◽  
Guided Bone Regeneration ◽  
Impacted Tooth ◽  
Probing Depth ◽  
One Year ◽  
It Success

Abstract Objective The aim of this study was to evaluate the performance of autotransplantation of a mature third molar to a fresh molar extraction socket using a 3D replica. Materials and Methods Ten patients underwent autotransplantation of teeth. We observed the mobility, percussion, radiography examination, the probing depth and the masticatory function of the transplanted teeth during one year following up, which were transplanted into fresh molar sockets by using a 3D replica, and GBR when it is necessary. Results The average extra-oral time of donor tooth had been shortened to 1.65 min. The clinical examination of the autotransplantation teeth during one year follow-up showed no sign of failure. Expect one patient feel slight sensitive when chewing with soft food at 4 weeks, and 3 points of probing depth deeper at different patients than 3mm and 1 points of probing depth deeper than 4mm at 4 weeks among them, and 1 points of probing depth deeper than 3mm at 5 weeks at the same patient. Conclusions The autotransplantation of teeth using 3D replica is an effective method which can reduce the extra-oral time of the donor teeth and the demand for the experience of a surgeon, and had a high success rate. Clinical Relevance The new 3D replica of donor tooth can make the surgery of tooth autotransplantation much easier, and improve it success rate.

scholarly journals Advances in the Treatment of Anal Fistula: A Mini-Review of Recent Five-Year Clinical Studies

2021 ◽  
Vol 7 ◽  
Author(s):  
Lijiang Ji ◽  
Yang Zhang ◽  
Liang Xu ◽  
Jun Wei ◽  
Liping Weng ◽  
...  
Keyword(s):  
Anal Fistula ◽  
Term Treatment ◽  
Large Sample Size ◽  
Effective Strategies ◽  
Long Term Treatment ◽  
Long Term Follow Up ◽  
Pros And Cons ◽  
Fistula Treatment

Anal fistula, with its complicated pathogenesis, has been considered as a clinical challenge for centuries. The risk of frequent recurrence and incontinence constitutes a considerable threat in the long-term treatment of anal fistula. In this work, we narratively reviewed the scientific literature of new techniques that have been used for anal fistula treatment over the recent 5 years, objectively evaluated the pros and cons of each technique on the basis of clinical outcomes, and tried to disclose the effective strategies for anal fistula treatment. Up to date, surgery is the main method used for treating anal fistula, but there is no simple technique that can completely heal complex anal fistula. In the course of surgery treatment, the healing outcome, and the protection of anal function should be weighed comprehensively. Among the innovative techniques that have emerged in recent years, combined techniques based on drainage Seton and LIFT-plug seem to be the relatively effective therapies, but their effectiveness requires more multi-center prospective randomized controlled trials with large sample size and long-term follow-up to be validated.

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