The results have proven themselves in recent years, with a long-term recurrence rate of 20% to 40%, depending on selection and the percentage of Crohn patients. Immediate suture failure (persistent fistulization) has been reported in up to 30% of cases. Incontinence rates are around 20% for first and second-degree incontinence, while third degree incontinence is rare.
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Literature summary
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Ongoing trials on this topic
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References on this topic
- Aguilar PS, Plalsencia G, Hardy TG et al. (1985) Mucosal advancement in the treatment of anal fistula. Dis Colon Rectum 28: 496–501
- Athanasiadis S, Helmes C, Yazigi R, Köhler A (2004) The direct closure of the internal fistula opening without advancement flap for transsphincteric fistulas in ano. Dis Colon Rectum 47: 1174–1180
- Marks CG, Ritchie JK (1977) Anal fistulas at St. Marks Hospital. Br J Surg 64: 84–91
- Mizrahi N, Wexner SD, Zmora O et al. (2002) Endorectal advancement flap: are there predictors of failure? Dis Colon Rectum 45: 1616–1621
- Morson BC, Dawson IMP (1972) Gastrointestinal Pathophysiology. Blackwell Scientific Publications, Oxford
- Parkash S, Lakshmiratan V, Gajendran V (1985) Fistula in ano: treatment by fistulectomy, primary closure and reconstitution. Aust N Z J Surg 55: 23–27
- Parks AG (1961) Pathogenesis and treatment of fistula in ano. BMJ 1: 463–469
- Parks AG, Gordon PH, Hardcastle JH (1976) A classification of fistula in ano. Br J Surg 63: 1–12
- Parks AG, Stitz RW (1976) The treatment of high fistula in ano. Dis Colon Rectum 19: 487–499
- Perez F, Arroyo A, Serrano P et al. (2006) Randomized clinical and manometric study of advancement flap versus fistulotomy with sphincter reconstruction in the management of complex fistula in ano. Am J Surg 192: 34–40
- Schouten WR, Zimmermann DD, Briel JW (1999) Transanal advancement flap repair of transsphincteric fistulas. Dis Colon Rectum 42: 1419–1422
- Stelzner F (1959) Die anorektalen Fisteln. Springer, Berlin Heidelberg New York
- Uribe N, Millan M, Minguez M et al. (2007) Clinical and manometric results of endorectal advancement flaps for complex anal fistulas. Int J Colorectal Dis 22: 259–264
- Vasilevsky CA, Gordon PH (1985) Results of treatment of fistula in ano. Dis Colon Rectum 28: 225–231
- Wedell J, Meier zu Eissen P, Banzhaf G, Kleine L (1987) Sliding flap advancement for the treatment of high level fistulae. Br J Surg 74: 390–391
- Westerterp M, Volkers NA, Poolman RW, Tets WF van (2003) Anal fistulotomy between Skylla and Charybdis. Colorectal Dis 5: 549–551
- Zimmermann DD, Briel JW, Gosselink MP, Schouten WR (2001) Anocutaneous advancement flap repair of transsphincteric fistulas. Dis Colon Rectum 44: 1474–1480
- V. Schumpelick, F. Harder (2006) Gastroenterologische Chirurgie. In: Siewert et al. (Hrsg) Praxis der Visceralchirurgie 2. Aufl. Springer, Berlin Heidelberg New York
Reviews
Iqbal N, Shah R, Alrubaiy L, Tozer P. Do Patient-Reported Quality-of-Life (QoL) Scales Provide an A
Iqbal N, Shah R, Alrubaiy L, Tozer P. Do Patient-Reported Quality-of-Life (QoL) Scales Provide an A
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