Anorectal Abscess and Fistula-in-Ano: Evidence-Based Management

被引:76
作者
Rizzo, Julie A. [1 ]
Naig, Anna L. [1 ]
Johnson, Eric K. [2 ]
机构
[1] Dwight D Eisenhower Army Med Ctr, Dept Surg, Ft Gordon, GA 30905 USA
[2] Uniformed Serv Univ Hlth Sci, F Edward Hebert Sch Med, Bethesda, MD 20814 USA
关键词
Anorectal abscess; Anal fistula; Incontinence; PRIMARY SPHINCTER RECONSTRUCTION; ENDORECTAL ADVANCEMENT FLAPS; PERIANAL CROHNS-DISEASE; COMPLEX ANAL FISTULAS; FIBRIN GLUE; CUTTING SETON; FECAL INCONTINENCE; INITIAL-EXPERIENCE; FOLLOW-UP; PLUG;
D O I
10.1016/j.suc.2009.10.001
中图分类号
R61 [外科手术学];
学科分类号
摘要
The management of anorectal abscess and anal fistula has changed markedly with time. Invasive methods with high resulting rates of incontinence have given way to sphincter-sparing methods that have a much lower associated morbidity. There has been an increase in reports in the medical literature describing the success rates of the varying methods of dealing with this condition. This article reviews the various methods of treatment and evidence supporting their use and explores advances that may lead to new therapies.
引用
收藏
页码:45 / +
页数:25
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