Managing Perianal Fistula

被引:0
作者
Truong, Adam [1 ]
Regueiro, Miguel [1 ]
Lightner, Amy L. [1 ]
机构
[1] Cleveland Clin, Div Colorectal Surg, Digest Dis Inst, Cleveland, OH 44106 USA
关键词
CROHNS-DISEASE; ANAL FISTULA; IN-ANO; ADVANCEMENT FLAP; DOUBLE-BLIND; TRANSSPHINCTERIC FISTULAS; PRIMARY SPHINCTEROPLASTY; LIGATION; ABSCESS; DRAINAGE;
D O I
暂无
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Perianal fistulas are major sources of morbidity worldwide which often require a protracted treatment course. Most simple fistulas can be managed with fistulotomy, but surgeons should remain conservative as any amount of sphincter division may result in incontinence. Management of complex fistulas are nuanced and imaging modalities may be utilized for preoperative planning. In cases of perianal Crohn's disease, medical and surgical treatments are evolving, but often require prerequisite sepsis control through seton placement. In this report, we review the range of classic and novel treatment strategies for perianal fistulas.
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页码:1 / 27
页数:10
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