PURPOSE To prospectively evaluate the efficacy of albumin glutaraldehyde tissue adhesive (BioGlue) in the surgical treatment of patients with hypospadias. MATERIALS AND METHODS Two groups of 20 patients each who underwent hypospadias repair were included in the study. In the first group we utilized BioGlue as an additional protective layer to the suture line of the neo-urethra, while patients...

Complex rectovaginal fistulas are uncommon but can be very difficult to manage. There are various techniques for repair, including endorectal advancement flaps, transperineal and transvaginal approaches, and fistula plugs, with varying success rates from 50-60% for the primary procedure to >70% after multiple procedures (1, 2, 3). For women with inflammatory bowel disease, history of radiation,...

OBJECTIVE: Crohn’s disease is in itself a major challenge for those treating inflammatory bowel diseases. Those exhibiting the fistulizing form, particularly perianal fistulas, create even more of a challenge, as there is great difficulty in obtaining disease control even using long-term therapeutic advances made in recent years. We evaluated the difference between the gender of patients under ...

Background: Total colectomy is used in children with total colonic aganglionosis, Ulcerative colitis (UC) and familial adenomatous polyposis (FAP). The purpose of this study was to maintain ileocecal valve and rectal-sparing surgery for the prevention of fecal incontinence in these children. Methods: From1990 to 2011, 14 children with diagnosis of UC, FAP and Hirschsprung’s disease were operat...

The complications of carotid cavernous fistula include (1) intracerebral hematoma, subarachnoid hemorrhage, intraorbital hemorrhage, epistaxis, and otorrhagia [1-4]; (2) blurred vision or loss of vision caused by secondary glaucoma, intraorbital hemorrhage, or other causes [1, 5] ; (3) cerebral ischemia due to steal of blood by the fistula [1 ]; (4) progressive proptosis [1, 5] ; (5) increased ...

Anorectal malformations (ARMs) occur in approximately 1 per 5000 live births. The most commonly used procedure for repair of high ARMs is posterior sagittal anorectoplasty (PSARP). This operation is performed entirely through a perineal approach. The first report of laparoscopically assisted anorectal pull-through (LAARP) for repair of ARMs was presented by Georgeson in 2000. The aim is present...

Aortoesophageal fistula is a rare but lethal complication after thoracic endovascular repair for thoracic aortic diseases. Extensive treatment is reserved for patients fit for surgery. Various technical approaches have been described; however, mortality rates are still high. Herein, we report a case of a 76-year-old woman with aortoesophageal fistula treated by a three-step treatment approach, ...

UNLABELLED A case of a 45 year-old woman who presented with a perianal fistula was reported. Histologically, the excised lesion showed features of apocrine fibroadenoma. In addition, the lesion had both glandular and stromal growth patterns and active chronic inflammation in the background. Malignant or benign counterparts of these types of lesions are widely described in literature. However fi...

PURPOSE The purpose of this paper is to present results of a single-center, nonrandomized, prospective study of the video-assisted anal fistula treatment (VAAFT). METHODS 68 consecutive patients with perianal fistulas were operated on using the VAAFT technique. 30 of the patients had simple fistulas, and 38 had complex fistulas. The mean follow-up time was 31 months. RESULTS The overall hea...