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Muscle-filling procedure for transsphincteric fistulas

J Iwadare1, Y Sumikoshi, R Sahara

  • 1Department of Proctology, Social Health Insurance Hospital, Tokyo, Japan.

Diseases of the Colon and Rectum
|October 23, 1997
PubMed
Summary
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This study presents a novel muscle-filling technique for transsphincteric fistula surgery, minimizing damage by excising only the primary abscess. The method offers a smaller wound and faster healing with a low recurrence rate.

Area of Science:

  • Colorectal Surgery
  • Surgical Innovation
  • Fistula Treatment

Background:

  • Transsphincteric fistulas often require extensive surgery, risking significant damage.
  • Traditional methods of laying open the entire fistula track can lead to severe complications.
  • The location of the primary abscess in the postanal space presents challenges for wound management.

Purpose of the Study:

  • To introduce an alternative surgical procedure for transsphincteric fistulas.
  • To reduce the damage associated with traditional fistula surgery.
  • To present a method that addresses the challenges of postanal space abscess management.

Main Methods:

  • A novel muscle-filling technique was developed for transsphincteric fistula excision.
  • The procedure involves excising only the primary abscess.

Related Experiment Videos

  • A muscle flap from the wound base is utilized to fill the resulting dead space.

    • Main Results:

    • Over 17 years, 328 transsphincteric fistula procedures were performed using this technique.
    • The muscle-filling technique resulted in a low recurrence rate of 1.5% (5 cases).
    • The method promotes a smaller wound and accelerated healing.

    Conclusions:

    • The muscle-filling technique is a safe and effective alternative for treating transsphincteric fistulas.
    • This approach minimizes surgical trauma and improves patient recovery.
    • The technique offers a favorable outcome with a low recurrence rate.