Related Experiment Video
Updated: Aug 17, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Total sphincter conservation in high fistula in ano: results of a new approach
D Matos1, P J Lunniss, R K Phillips
1Department of Surgery, St Mark's Hospital, London, UK.
The British Journal of Surgery
|June 1, 1993
Abstract:
An intersphincteric approach has been developed that allows complete sphincter preservation in some patients with high fistulas. This operation in 13 patients (eight trans-sphincteric, five suprasphincteric tracks) has resulted in complete success in seven, partial success (ultimate sacrifice of the internal anal sphincter) in two and failure in four. When the operation is successful continence is better than after failed procedures.
