Role of video assisted anal fistula treatment in our management of fistula-in-ano

Varování

Publikace nespadá pod Filozofickou fakultu, ale pod Lékařskou fakultu. Oficiální stránka publikace je na webu muni.cz.

Autoři	GROLICH Tomáš SKŘIČKA Tomáš ROBEK Oldřich KALA Zdeněk HEMMELOVÁ Beáta HRIVNÁK Radoslav
Rok publikování	2014
Druh	Článek v odborném periodiku
Časopis / Zdroj	Acta chirurgica iugoslavica
Fakulta / Pracoviště MU	Lékařská fakulta
Citace
Doi	http://dx.doi.org/10.2298/ACI1402083G
Obor	Chirurgie včetně transplantologie
Klíčová slova	fistula in ano; internal opening; video assisted; fistuloscope
Popis	Background: Video-assisted anal fistula treatment is a new method used for treatment of complex perianal fistula with maximal sparing of sphincter muscles and prevention of false route. Authors inform about their experience and operative results. Aims: Our aim was to verify feasibility of the method, help in internal opening identification and define its position in our management of perianal fistulas. Methods: Patients with chronic fistula-in-ano of IBD and non-IBD benign etiology were enrolled. Anoscopy with fistuloscopy was attempted in all patients followed by loose seton drainage or other procedure. Results: Fistuloscopy was attempted in 30 patients, finished in 93% and internal opening was found in 67%. No procedure-related morbidity was observed. Conclusion: Fistuloscopy alone is feasible for diagnosing type of IBD and non-IBD fistulas. VAAFT technique and instruments were helpful for identification of an internal opening in most cases. As such it has established role in our management of fistula-in-ano.