background: fistula-in-ano is a problematic perianal disease for physicians and patients because of its occasional difficulty in management. due to the different types of fistulas seen in patients, careful approach is necessary to correctly choose from among the various surgical techniques. one surgical method for complex fistula is the endorectal advancement flap which has been frequently perf...

BACKGROUND Fistula-in-ano is a problematic perianal disease for physicians and patients because of its occasional difficulty in management. Due to the different types of fistulas seen in patients, careful approach is necessary to correctly choose from among the various surgical techniques. One surgical method for complex fistula is the endorectal advancement flap which has been frequently perfo...

Abstract Introduction Anorectal fistulas are some of the commonest surgical proctologic disorders treated by surgeons. Despite recent introduction various sphincter preserving techniques, search for optimal operation continues. The purpose this study was to determine predictors long-term healing endorectal advancement flap Methods A retrospective review a single surgeon experience with anorecta...

AIM: to estimate the outcomes after fistula laser coagulation for transsphincteric anal fistulas. PATIENTS AND METHODS: a prospective randomized single-center study included 42 patients with fistulas, 36 (85.7%) of them had follow-up > 3 months. Nineteen were group thermocoagulation track (diode 1560 nm) combined ligation intersphincteric (LC + LIFT). Seventeen closure internal opening by ad...

OBJECTIVE To compare the use of endorectal plus phased-array coils with use of phased-array coil alone with respect to the accuracy of magnetic resonance imaging for detecting mesorectal involvement of rectal cancer. DESIGN Retrospective study. SETTING A tertiary referral centre in Hong Kong. PATIENTS Ethnic Chinese patients with rectal adenocarcinoma who underwent staging magnetic resona...

INTRODUCTION We evaluated the accuracy of endorectal magnetic resonance imaging (MRI) in the staging of prostate cancer. MATERIALS AND METHODS We retrospectively reviewed 32 patients who underwent endorectal MR prostate prior to radical prostatectomy. The tumour stage based on MR imaging was compared with the pathologic stage. The sensitivity and specificity of endorectal MR prostate in the e...

INTRODUCTION Rectovaginal fistula (RVF) sometimes has a difficulty in treatment. This report describes two patients who suffered from RVF. CASE DESCRIPTIONS One patient was a 76-year-old woman who had a RVF over 30 years after the 3rd childbirth. She underwent endorectal advancement flap (ERAF). She had a nighttime soiling after ERAF once a month, which disappeared one year after surgery. Sec...

Perianal Crohn's disease refers to the involvement of the anal region in this chronic inflammatory bowel disease. It most commonly presents with the formation of perianal abscesses and fistulas, although other forms of presentations such as fissures and skin tags may also be present. Perianal activity often parallels abdominal disease activity, but may occasionally be the primary site of active...

OBJECTIVE Our goal was assessment of the preoperative staging of rectal carcinoma with MR with double surface coil, MR with endorectal coil, and intrarectal ultrasound (IUS) as correlated with histopathologic findings. MATERIALS AND METHODS Fifteen patients with rectal carcinoma had preoperative evaluation using intrarectal ultrasound (all 15 patients), MR with double surface coil alone (6 pa...