Résumé
Dans la majorité des cas, les choix qui sont donnés aux proctologues (et aux patients porteurs de fistule) opposent la fistulotomie, technique de référence dont l’efficacité dépasse 90 % dans des mains expertes, mais qui expose à un risque d’incontinence anale (IA) de 5 à 30 % selon les cas (cf. supra), et les techniques d’épargne sphinctérienne: le lambeau d’avancement, l’obturateur ou plug et la colle de fibrine.
This is a preview of subscription content, log in via an institution.
Preview
Unable to display preview. Download preview PDF.
Références
Garcia-Aguilar J, Davey CS, Le CT et al. (2000) Patient satisfaction after surgical treatment for fistula-in-ano. Dis Colon Rectum 43: 1206–12
Swinscoe MT, Ventakasubramaniam AK, Jayne DG (2005) Fibrin glue for fistula-in-ano: the evidence reviewed. Tech Coloproctol 9: 89–94
Grimaud JC, Munoz-Bongrand N, Siproudhis L et al., and the GETAID (2007) Fibrine glue injection for perianal fistulas in Crohn’s disease: a randomized controlled trial. Site GETAID: http//www.getaid.org
Sultan AH, Kamm MA, Hudson CN et al. (1993) Anal-sphincter disruption during vaginal delivery. N Engl J Med 329: 1905–11
Abramowitz L, Sobhani I, Ganansia R et al. (2000) Are sphincter defects the cause of anal incontinence after vaginal delivery? Results of a prospective study. Dis Colon Rectum 43: 590–6; discussion 596-8
Damon H, Guye O, Seigneurin A et al. (2006) Prevalence of anal incontinence in adults and impact on quality-of-life. Gastroenterol Clin Biol 30: 37–43
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag France, Paris
About this chapter
Cite this chapter
Abramowitz, L. (2010). Indications privilégiées. In: Fistules anales. La «Collection SNFCP». Springer, Paris. https://doi.org/10.1007/978-2-8178-0019-6_10
Download citation
DOI: https://doi.org/10.1007/978-2-8178-0019-6_10
Publisher Name: Springer, Paris
Print ISBN: 978-2-8178-0018-9
Online ISBN: 978-2-8178-0019-6
eBook Packages: MedicineMedicine (R0)