Evidence - Anal fistula, plastic closure with rectal mucosa advancement flap - general and visceral surgery

The results have proven themselves in recent years, with a long-term recurrence rate of 20% to 40%, depending on selection and the percentage of Crohn patients. Immediate suture failure (persistent fistulization) has been reported in up to 30% of cases. Incontinence rates are around 20% for first and second-degree incontinence, while third degree incontinence is rare.

LATFIA-trial: Laser Assisted Treatment of Fistula In Ano Randomized Controlled Trial Comparing FiLaCTM to Rectal Advancement Flap

The Outcome of Combined Partial Fistulectomy or Fistulotomy and Cutting Seton Procedure in High Perianal Fistula: Prospective Study

External Anal Sphincter-Sparing Seton After Rerouting Versus Ligation of Intersphincteric Fistula Tract (LIFT) In Treatment Of Complex Anal Fistula: A Randomized Clinical Trial

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