treatment of patient with high anal fistulas has become complicated and post-operative complications are common. the aim of this study was to evaluate post-operative complications of primary sphincter’s repair technique in patients with high anal fistula. an interventional quasi-experimental study was conducted on 60 patients(42 male & 14 female) with high anal fistula. the most frequent age gr...

Background: Perianal fistula is a complicated disorder and most difficult to manage. New treatment methods would help surgeons to achieve a better outcome in patients with perianal fistula. Human amniotic membrane (HAM) has positive effects on wound healing in several conditions. The present study aimed to further determine the effect of HAM on wound healing of perianal fistula in rabbits.Metho...

Up to 20% of patients with Crohn's disease (CD) may have perianal fistula disease, which is frequently associated with perianal collections [1]. Classically, surgery has played an important role, by the placement of drains or setons creation of ostomies, and in severe cases, even proctectomy [2]. However, in recent years, medical treatment with or without the temporary placement of drains, has ...

AIM To construct an algorithm of the treatment tactics which would include modern conservative and surgical methods. MATERIALS AND METHODS Endoscopy under anesthesia, endorectal ultrasonography, histological and radiological examinations, MRT. In the last 22 years, 310 patients with Crohn's disease (CD) have been treated in our clinic of which 144 had perianal complications (60 fissure, 52 fi...

conclusions based on the results of this study and according to the 1117 sensitivity of mri, it’s useful to locate the perianal fistulas, reduce the chance of recurrence and postoperative complications and can contribute the healing process better than other diagnostic methods. results amongst the total of 14 patients,in 1 patient (7117) transsphincteric fistula, 11 patients (78167) intersphinc...

Abstract Background Perianal fistula is a considered as chronic recurrent inflammatory condition that requires proper surgical treatment and may require repeated intervention. Therefore, adequate pre-operative radiological diagnosis plays critical role. In this study, we aimed at comparing the role of endoanal ultrasonography with MRI fistulography in evaluating primary fistula's tract, interna...

conclusion the dwmri is a useful technique for evaluating activity of fistulas with abscess. perianal fistula visibility is greater with combined t2wi and dwmri than t2wi alone. patients and methods fifty-three patients with 56 perianal fistulas were included in the current retrospective study. the t2-weighted imaging (t2wi) and dwmri were performed and apparent diffusion coefficient (adc) valu...

BACKGROUND/PURPOSE Fistulotomy is the accepted treatment for infants with perianal fistula. Although recurrence rates range from 0% to 68%. Based on the experience of a senior colleague who noted that babies suffering from perianal fistula follow a self-limited course the authors decided to determine if this observation was accurate. METHODS A conservative approach to perianal abscess and fis...