Evaluation and management of perianal abscess and anal fistula: SICCR position statement

被引：162

作者：

Amato, A. ^{[1
]}

Bottini, C. ^{[2
]}

De Nardi, P. ^{[3
]}

Giamundo, P. ^{[4
]}

Lauretta, A. ^{[5
]}

Luc, A. Realis ^{[6
]}

Piloni, V. ^{[7
]}

机构：

[1] Borea Hosp, Dept Surg, Coloproctol Unit, San Remo, Italy

[2] Hosp S Antonio Abate, Unit Surg, Gallarate, VA, Italy

[3] Ist Sci San Raffaele, Gastrointestinal Surg, Milan, Italy

[4] Policlin Monza, Dept Colorectal Surg, Monza, Italy

[5] IRCCS Aviano, Ctr Riferimento Oncol Aviano CRO, Unit Gen Oncol Surg, Aviano, Italy

[6] Hosp S Rita, Coloproctol Unit, Vercelli, Italy

[7] Diagnost Imaging Ctr Diagnost Marche, Osimo Stn, Ancona, Italy

来源：

TECHNIQUES IN COLOPROCTOLOGY | 2020年 / 24卷 / 02期

关键词：

Anal; Perianal; Fistula; Fistula-in-ano; Abscess; Seton; Advancement flap; LIFT; Plug; Fibrin glue; Implant; Biomaterial; Horseshoe extension; Transsphincteric fistula; VAAFT; ADVANCEMENT FLAP REPAIR; RANDOMIZED CLINICAL-TRIAL; SPHINCTER-SAVING TECHNIQUE; FIBRIN GLUE TREATMENT; IN-ANO; LONG-TERM; TREATMENT VAAFT; STEM-CELLS; ADIPOSE-TISSUE; SURGICAL-TREATMENT;

D O I：

10.1007/s10151-019-02144-1

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Perianal sepsis is a common condition ranging from acute abscess to chronic anal fistula. In most cases, the source is considered to be a non-specific cryptoglandular infection starting from the intersphincteric space. Surgery is the main treatment and several procedures have been developed, but the risks of recurrence and of impairment of continence still seem to be an unresolved issue. This statement reviews the pertinent literature and provides evidence-based recommendations to improve individualized management of patients.

引用

页码：127 / 143

页数：17

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