PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
2015 | 86 | 1 | 7-10
Tytuł artykułu

VAAFT: a new minimally invasive method in the diagnostics and treatment of anal fistulas – initial results

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study was to present our own experience in the treatment of anal fistulas by means of VAAFT (Video-Assisted Anal Fistula Treatment). Material and methods. Twenty patients were qualified for the VAAFT procedure. All were subjected to diagnostics. Two patients after the diagnostic stage underwent classical fistula surgery. The remaining 18 patients were subjected to the full procedure (diagnostic fistuloscopy, supply of the internal ostium, and coagulation of the fistula canal). The mean observation period was 10 months. Results. In most cases the trans-sphincter fistula was observed during the diagnostic phase, including three with additional fluid compartments. There was one intersphincteric fistula. Considering the 18 patients subjected to the full VAAFT procedure the internal ostium was supplied by means of an advancement flap in 3 cases, while in 11 by means of a mattress suture, including one with additional tissue glue. In 4 cases the internal ostium was tightly covered by mucosa. Surgical complications were not observed during the procedure. During further observation a permanent fistula was observed in 4 (22%) patients, and in two (17%), recurrence of anal fistula. In the remaining 12 patients one observed healing without fistula recurrence. Complications were not observed, including stool and gas control deterioration (based on the FISI scoring). Conclusions. The VAAFT method does not affect sphincter efficiency, no intra- and postoperative complications were observed. As compared to other minimally invasive procedures a comparable recovery rate is observed without the risk of incontinence. It is the only method enabling the intraoperative identification of the internal ostium and fistula canal under visual control. Initial optimistic results require further investigations on a larger group of patients.
Wydawca

Rocznik
Tom
86
Numer
1
Strony
7-10
Opis fizyczny
Daty
wydano
2014-01-01
online
2014-02-27
Twórcy
  • 3rd Department of General Surgery, Jagiellonian University Collegium Medicum in Cracow, pwalega@mp.pl
  • 3rd Department of General Surgery, Jagiellonian University Collegium Medicum in Cracow
  • 3rd Department of General Surgery, Jagiellonian University Collegium Medicum in Cracow
Bibliografia
  • 1. Beets-Tan RG, Beets GL, van der Hoop AG et al.: Preoperative MR imaging of anal fistulas: Does it really help the surgeon? Radiology 2001; 218(1): 75-84.[Crossref][PubMed]
  • 2. Waniczek D, Adamczyk T, Arendt J et al.: Usefulness assessment of preoperative MRI fistulography in patients with perianal fistulas. Pol J Radiol Pol Med Soc Radiol 2011; 76(4): 40-44.
  • 3. Meinero P, Mori L: Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistulas. Tech Coloproctology 2011; 15(4): 417-22.[WoS][Crossref]
  • 4. Blumetti J, Abcarian A, Quinteros F et al.: Evolution of treatment of fistula in ano. World J Surg 2012; 36(5): 1162-67.[PubMed][Crossref][WoS]
  • 5. Ommer A, Herold A, Joos A et al.: Gore BioA Fistula Plug in the treatment of high anal fistulas - initial results from a German multicenterstudy (Internet). Gms Ger Med Sci 2012; 11: 10.
  • 6. Abcarian AM, Estrada JJ , Park J et al.: Ligation of intersphincteric fistula tract: early results of a pilot study. Dis Colon Rectum 2012; 55(7): 778-82.[PubMed][Crossref][WoS]
  • 7. Liu WY , Aboulian A, Kaji AH , Kumar RR : Longterm results of ligation of intersphincteric fistula tract (LIFT) for fistula-in-ano. Dis Colon Rectum 2013; 56(3): 343-47.[WoS][Crossref]
  • 8. Wilhelm A: A new technique for sphincter-preserving anal fistula repair using a novel radial emitting laser probe. Tech Coloproctology 2011; 15(4): 445-49.[WoS][Crossref]
  • 9. Schwandner O: Video-assisted anal fistula treatment (VAAFT) combined with advancement flap repair in Crohn’s disease. Tech Coloproctology 2013; 17(2): 221-25. [WoS][Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0002
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.