Complete tract excision for complex fistula-in-ano, where the sphincter, is divided is increasingly being followed by immediate sphincter repair. We concluded, by a prospective study conducted on 60 consecutive patients, that this procedure is feasible and safe, and polydioxanone and polyglactin 910 in repair result in a comparable outcome.
HirschburgerMSchwandnerTHeckerA,et al.Fistulectomy with primary sphincter reconstruction in the treatment of high transsphincteric anal fistulas. Int J Colorectal Dis2014; 29: 247–252.
OrkinBASinykinSBLloydPC. The digital rectal examination scoring system (DRESS). Dis Colon Rectum2010; 53: 1656–1660.
5.
TylerKMAaronsCBSentovichSM. Successful sphincter-sparing surgery for all anal fistulas. Dis Colon Rectum2007; 50: 1535–1539. PMID: 17674105.
6.
WilliamsAAdamsEJTincelloDG,et al.How to repair an anal sphincter injury after vaginal delivery: results of a randomised controlled trial. BJOG2006; 113: 201–207.
7.
FernandoRJSultanAHKettleC,et al.Methods of repair for obstetric anal sphincter injury. Cochrane Database Syst Rev2013: CD002866. doi: 10.1002/14651858.CD002866.pub3.
8.
SeyfriedSBussenDJoosA,et al.Fistulectomy with primary sphincter reconstruction. Int J Colorectal Dis2018; 33: 911–918.
9.
FaragAFAElbarmelgiMYMostafaM,et al.One stage fistulectomy for high anal fistula with reconstruction of anal sphincter without fecal diversion. Asian J Surg2019; 42: 792–796.
10.
IqbalNDilkeSMGeldofJ, et al.Is fistulotomy with immediate sphincter reconstruction (FISR) a sphincter preserving procedure for high anal fistula? A systematic review and meta-analysis. Colorectal Dis2021; 23: 3073–3089.
11.
MaqboolJMehrajAShahZA, et al.Fistulectomy and incontinence: do we really need to worry?Med Pharm Rep2022; 95: 59–64.
12.
JiLZhangYXuL,et al.Advances in the treatment of anal Fistula: a Mini-review of recent five-year clinical studies. Front Surg2021; 7: 586891.