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Invited Commentary

  • Thang Nguyen
  • Frank A. Frizelle

Abstract

The management of fistula is a common and usually a straight forward part of a surgeons practice, however at times can be the most difficult and exasperating part for both patients and surgeons. Different approaches are required depending on the type of fistula, and the patient’s status and the surgeon’s resources and skill.

Keywords

Necrotizing Fasciitis Anal Fistula Internal Opening Rectovaginal Fistula Perianal Fistula 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Lolohea S, Lynch AC, Robertson GB et al. Ileal pouch-anal anastomosis-vaginal fistula: a review. Dis Colon Rectum 2005;48:1802–1810.CrossRefPubMedGoogle Scholar
  2. 2.
    Johnston MJ, Robertson GM, Frizelle FA. Management of late complications of pelvic radiation in the rectum and anus: a review. Dis Colon Rectum 2003;46:247–259.CrossRefPubMedGoogle Scholar
  3. 3.
    Tsang CB, Madoff RD, Wong WD et al. Anal sphincter integrity and function influences outcome in rectovaginal fistula repair. Dis Colon Rectum 1998;41:1141–1146.CrossRefPubMedGoogle Scholar
  4. 4.
    Taxonera C, Schwartz DA, García-Olmo D. Emerging treatments for complex perianal fistula in Crohn’s disease. World J Gastroenterol 2009;15:4263–4272.CrossRefPubMedGoogle Scholar
  5. 5.
    Ng SC, Plamondon S, Gupta A et al. Prospective evaluation of anti-tumor necrosis factor therapy guided by magnetic resonance imaging for Crohn’s perineal fistulas. Am J Gastroenterol 2009;104:2973–2986.CrossRefPubMedGoogle Scholar
  6. 6.
    Eykyn SJ, Grace RH. The relevance of microbiology in the management of anorectal sepsis. Ann R Coll Surg Engl 1986;68:237–239.PubMedGoogle Scholar
  7. 7.
    Whitehead SM, Leach RD, Eykyn SJ et al. The aetiology of perirectal sepsis. Br J Surg 1982;69:166–168.CrossRefPubMedGoogle Scholar
  8. 8.
    Frizelle FA, Santoro GA, Pemberton JH. The management of perianal Crohn’s disease. Int J Colorectal Dis 1996; 11:227–237.CrossRefPubMedGoogle Scholar
  9. 9.
    Kratzer Gl. The anal ducts and their clinical significance. Am J Surg 1950;79:32–39.CrossRefPubMedGoogle Scholar
  10. 10.
    Granet E. Is anal fistula a necessary sequel to perianal abscess? N Y State J Med 1948;48:63–66.PubMedGoogle Scholar
  11. 11.
    Ramanujam PS, Prasad ML, Abcarian H, Tan AB. Perianal abscesses and fistulas. A study of 1023 patients. Dis Colon Rectum 1984;27:593–597.CrossRefPubMedGoogle Scholar
  12. 12.
    Eisenhammer S. The final evaluation and classification of the surgical treatment of the primary anorectal cryptoglandular intermuscular (intersphincteric) fistulous abscess and fistula. Dis Colon Rectum 1978;21:237–254.Google Scholar
  13. 13.
    Goligher JC, Ellis M, Pissidis AG. A critique of anal glandular infection in the aetiology and treatment of idiopathic anorectal abscesses and fistulas. Br J Surg 1967;54:977–983.CrossRefPubMedGoogle Scholar
  14. 14.
    Parks AG. Pathogenesis and treatment of fistula-in-ano. Br Med J 1961;18:463–469.CrossRefGoogle Scholar
  15. 15.
    Abcarian H. Acute suppurations of the anorectum. Surg Annu 1976;8:305–333.PubMedGoogle Scholar
  16. 16.
    McElwain JW, MacLean MD, Alexander RM et al. Anorectal problems: experience with primary fistulectomy for anorectal abscess, a report of 1000 cases. Dis Colon Rectum 1975;18: 646–649.CrossRefPubMedGoogle Scholar
  17. 17.
    Tang CL, Chew SP, Seow-Choen F. Prospective randomized trial of drainage alone vs. drainage and fistulotomy for acute perianal abscesses with proven internal opening. Dis Colon Rectum 1996;39:1415–1417.CrossRefPubMedGoogle Scholar
  18. 18.
    Ho YH, Tan M, Chui CH et al. Randomized controlled trial of primary fistulotomy with drainage alone for perianal abscesses. Dis Colon Rectum 1997;40:1435–1438.CrossRefPubMedGoogle Scholar
  19. 19.
    Thekkinkattil DK, Botterill I, Ambrose NS et al. Efficacy of the anal fistula plug in complex anorectal fistulae. Colorectal Dis 2009;11:584–587.CrossRefPubMedGoogle Scholar
  20. 20.
    Wang JY, Garcia-Aguilar J, Sternberg JA et al. Treatment of transsphincteric anal fistulas: are fistula plugs an acceptable alternative? Dis Colon Rectum 2009;52:692–697.PubMedGoogle Scholar
  21. 21.
    Schwandner T, Roblick MH, Kierer W et al. Surgical treatment of complex anal fistulas with the anal fistula plug: a prospective, multicenter study. Dis Colon Rectum 2009; 52:1578–1583.PubMedGoogle Scholar
  22. 22.
    Rojanasakul A. LIFT procedure: a simplified technique for fistula-in-ano. Tech Colproctol 2009;13:237–240.CrossRefGoogle Scholar
  23. 23.
    Shanwani A, Nor AM, Amri N. Ligation of the intersphincteric fistula tract (LIFT): a sphincter-saving technique for fistula-in-ano. Dis Colon Rectum 2010;53:39–42.PubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2010

Authors and Affiliations

  • Thang Nguyen
    • 1
  • Frank A. Frizelle
    • 1
  1. 1.Division of Colorectal Surgery, Department of Academic SurgeryUniversity of OtagoChristchurchNew Zealand

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