The clinical course of perianal fistulas and associated abscesses was evaluated prospectively in 90 patients with Crohn's disease. Fistula type, rectal disease, faecal diversion, and immunosuppression were examined as prognostic indicators for fistula healing and recurrence. Median follow up was 22 months. The outcome was evaluated with life table analysis. Prognostic factors were analysed by m...

PURPOSE The aim of our study was to assess the contribution of various magnetic resonance imaging (MRI) sequences in determining the type of perianal fistula and in obtaining critical information for surgical decisions, as well as to define the optimal combination of sequences for readers with varying levels of experience. MATERIALS AND METHODS The study included 33 MRI examinations in 26 pat...

N-type tracheoesophageal fistula without atresia is a rare congenital tracheoesophageal anomaly. Open surgical repair through a right cervical incision is the standard procedure in most hospitals.1–3 Thoracoscopic repair has been described but is performed less frequently.4 We report a case of a 7-week-old girl born at 36 gestational weeks who presentedwith episodes of coughing and cyanosis dur...

BACKGROUND/PURPOSE Treatment of long gap esophageal atresia (EA) is still a major challenge. Gastric transposition and colon interposition are the 2 most popular choices for esophageal replacement, but there is general agreement that the child's own esophagus is the best. The aim of the study was to critically evaluate the feasibility and outcome of primary repair of long gap EA with or without...

Abstract Background The treatment of complex Crohn’s perianal fistulas (CPF) is challenging, requiring both medical and surgical approaches. goal fistula closure, but long-term success rates are modest recurrence high after interventions. This systematic literature review (SLR) aimed to better understand the patterns outcomes associated with CPF. Methods Electronic databases (MEDLINE, Embase, E...

Abstract Aims Incisional hernias are a common complication after surgery that cause significant patient morbidity. Symptomatic patients offered repair but many surgical techniques exist, with abdominal wall reconstruction becoming preferable for large complex defects. This paper describes our experience of using dual mesh technique. Method 22 underwent incisional hernia between March 2019 and S...

Crohn's disease is a chronic inflammatory disorder that can affect any part of the gastrointestinal tract from the mouth to the anus. The disease is characterized by transmural inflammation that can be complicated by the development of fibrotic strictures, perforation, abscess formation, and fistulization. Perianal fistulas may arise from inflamed or infected anal glands (fistula-in-ano) and/or...

OBJECTIVE Endovascular repair remains a challenge in the treatment of juxtarenal abdominal aortic aneurysms (AAAs); open surgery is now the treatment of choice. Because the proximal anastomosis involves a fragile aortic wall and renal ischemic time is correlated with postoperative renal dysfunction, simple and secure reinforcing of the suture line is indispensable in juxtarenal AAA repair. Our ...

Aim: The laser method (FiLaCTM) has recently emerged as a minimally invasive treatment option in the of anal fistula. Anal incontinence and fistula recurrence after surgery are postoperative problems that complicate treatment. In our study, we aimed to investigate effectiveness film which cases it should be preferred Methods: Twelve patients who underwent FiLaCTM diode at Derik State Hospital b...