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[Complementary thermo-obliteration in double anal fistula]
Gastón Sierra-Luzuriaga1, Ernesto Sierra-Montenegro
1Servicio de Coloproctología, Hospital Teodoro Maldonado Carbo, Cañar 607, segundo piso, Guayaquil, Ecuador. gesierra21@yahoo.com
Cirugia Y Cirujanos
|July 31, 2007
Summary
Electrosurgery effectively treats complex anal fistulas, preserving anal sphincter function. This method offers a high success rate with minimal incontinence, making it a preferred option for double anal fistulas.
Area of Science:
- Colorectal Surgery
- Gastroenterology
- Medical Devices
Context:
- Anal fistula, an abnormal tract from a cryoglandular infection, presents challenges in treatment.
- Secondary openings can occur in the perianal skin, perineum, or vagina.
- Complex cases, such as double anal fistulas, require specialized surgical approaches.
Purpose:
- To evaluate the efficacy of electrosurgery as a complementary procedure for treating anal fistulas, particularly complex double fistulas.
- To assess the impact of electrosurgery on anal sphincter function and patient outcomes.
- To determine factors influencing recurrence and incontinence in anal fistula treatment.
Summary:
- A retrospective study of 79 patients with double anal fistulas utilized electrosurgery.
- The procedure demonstrated an 8.8% failure rate and 10.12% partial incontinence to gases.
- Thermo-obliteration following tract resection is recommended for complex double anal fistulas to preserve continence.
Impact:
- Electrosurgery offers a viable alternative for treating anal fistulas without significantly compromising anal continence.
- The findings suggest that complementary thermo-obliteration is crucial for managing complex double anal fistulas effectively.
- This approach minimizes the risk of incontinence and recurrence, improving patient quality of life.
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