Evidence - Anal fistula, plastic closure with rectal mucosa advancement flap - general and visceral surgery
You have not purchased a license - paywall is active: to the product selection
Literature summary
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.
Ongoing trials on this topic
References on this topic
- Aguilar PS, Plalsencia G, Hardy TG et al. (1985) Mucosal advancement in the treatment of anal fistula. Dis Colon Rectum 28: 496–501
- Athanasiadis S, Helmes C, Yazigi R, Köhler A (2004) The direct closure of the internal fistula opening without advancement flap for transsphincteric fistulas in ano. Dis Colon Rectum 47: 1174–1180
- Marks CG, Ritchie JK (1977) Anal fistulas at St. Marks Hospital. Br J Surg 64: 84–91
- Mizrahi N, Wexner SD, Zmora O et al. (2002) Endorectal advancement flap: are there predictors of failure? Dis Colon Rectum 45: 1616–1621
- Morson BC, Dawson IMP (1972) Gastrointestinal Pathophysiology. Blackwell Scientific Publications, Oxford
- Parkash S, Lakshmiratan V, Gajendran V (1985) Fistula in ano: treatment by fistulectomy, primary closure and reconstitution. Aust N Z J Surg 55: 23–27
- Parks AG (1961) Pathogenesis and treatment of fistula in ano. BMJ 1: 463–469
- Parks AG, Gordon PH, Hardcastle JH (1976) A classification of fistula in ano. Br J Surg 63: 1–12
- Parks AG, Stitz RW (1976) The treatment of high fistula in ano. Dis Colon Rectum 19: 487–499
- Perez F, Arroyo A, Serrano P et al. (2006) Randomized clinical and manometric study of advancement flap versus fistulotomy with sphincter reconstruction in the management of complex fistula in ano. Am J Surg 192: 34–40
- Schouten WR, Zimmermann DD, Briel JW (1999) Transanal advancement flap repair of transsphincteric fistulas. Dis Colon Rectum 42: 1419–1422
- Stelzner F (1959) Die anorektalen Fisteln. Springer, Berlin Heidelberg New York
- Uribe N, Millan M, Minguez M et al. (2007) Clinical and manometric results of endorectal advancement flaps for complex anal fistulas. Int J Colorectal Dis 22: 259–264
- Vasilevsky CA, Gordon PH (1985) Results of treatment of fistula in ano. Dis Colon Rectum 28: 225–231
- Wedell J, Meier zu Eissen P, Banzhaf G, Kleine L (1987) Sliding flap advancement for the treatment of high level fistulae. Br J Surg 74: 390–391
- Westerterp M, Volkers NA, Poolman RW, Tets WF van (2003) Anal fistulotomy between Skylla and Charybdis. Colorectal Dis 5: 549–551
- Zimmermann DD, Briel JW, Gosselink MP, Schouten WR (2001) Anocutaneous advancement flap repair of transsphincteric fistulas. Dis Colon Rectum 44: 1474–1480
- V. Schumpelick, F. Harder (2006) Gastroenterologische Chirurgie. In: Siewert et al. (Hrsg) Praxis der Visceralchirurgie 2. Aufl. Springer, Berlin Heidelberg New York
Reviews
Guidelines
literature search
Literature search on the pages of pubmed.
Single Access
Access to this lecture
for 3 days
€4.99 inclusive VAT

webop-Account Single
full access to all lectures
price per month
for the modul: vascular surgery