BACKGROUND The incidence of rectovaginal fistula in women with Crohn's disease has been reported to be 3-10 %. Although rectovaginal fistulas can be managed medically and surgically, they have high rates of recurrence and complications. Rectal stenosis is another condition that occurs due to perianal Crohn's disease. A novel, minimally invasive procedure, dual-port laparoscopic abdominoperineal...

Abstract Aims The aim of the study is to debate if primary surgical treatment (abdominoperineal (AP) resection remains safe and effective in low resource settings especially when considering cost, availability, protracted complications radiotherapy+/- chemotherapy. Methods An electronic literature search were performed identify original published studies on anal carcinoma management. Results on...

BACKGROUND Low transsphincteric fistulas less than 1/3 of the sphincter complex are easy to treat by fistulotomy with a high success rate. High transsphincteric fistulas remain a surgical challenge. Various surgical procedures are available, but recurrence rates of these techniques are disappointingly high. The mucosal flap advancement is considered the gold standard for the treatment of high p...

Anorectal abscesses are one of the potentially debilitating diseases among them perianal abscess and ischiorectal common. Lateral spread through conjoint tendon leads to a horseshoe abscess. Surgical treatment is incision drainage. Complications include sepsis, faecal incontinence, fistula in ano. Kshara sutra proved effective for ano, which helps preventing recurrence. Here we report case with...

BACKGROUND Fistula-in-ano when complicated by Fournier's gangrene is an unusual finding and always carries high morbidity. This study details our experience in managing 10 cases. METHODS OF STUDY Case files of all patients managed in University of Maiduguri Teaching Hospital and Federal Medical Center of Yola and Gombe from January, 2007 to December, 2011 were retrieved from Medical Record De...

BACKGROUND Development of perianal fistulas are a common feature of Crohn's disease (CD). Consequences are severe impairment of quality of life as well as potentially life-threatening complications like abscess formation or bacterial sepsis. Therefore, appropriate treatment is an important task in the management of CD. METHODS This review describes the epidemiology, pathogenesis, diagnosis, a...

Fistulotomy alone induced remission in 85% of patients with simple perianal fistula without rectal inflammation. However, if active inflammation is present in the rectum, the risk of delayed healing or fecal incontinence increases after fistulotomy. Therefore, a noncutting seton placement is preferred, along with appropriate medical treatment when active inflammation is present. The introductio...

OBJECTIVE To determine the surgical technique "core out fistulectomy with anal sphincter reconstruction and primary closure of internal opening" in the treatment of trans-sphincteric fistula (high type or long tract) or supra-sphincteric fistula in terms of fistula healing, morbidity, recurrence and anal continence. MATERIAL AND METHOD Between January 2004 and December 2005, 33 patients were ...

(1) Background: Perianal fistula represents a chronic local suppuration, and recurrent or incorrectly treated, this pathology has negative effect on the life of patients. (2) Methods: A 12-month prospective study was conducted with group (patients at second presentation) control first presentation). The BTL-6000 brand laser 50 times maximum power conventional devices an unmatched wavelength 106...