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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
Summary
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.
- 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.