| Why do we have to review our experience in managing cases with idiopathic fistula-in-ano regularly? | |
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MedLine Citation:
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PMID: 21876617 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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"Why do we have to review our experience in managing idiopathic fistula-in-ano regularly?" In order to answer this apparently simple question, we reviewed our clinical and surgical cases and most important relevant literature to find a rational and scientific answer. It would appear that whatever method you adopt in fistula management, there is a price to pay regarding either rate of recurrence (higher with conservative methods) or impairment of continence (higher with traditional surgery). Since, at the moment, reliable data to identify a treatment as a gold standard in the management of anal fistulas are lacking, the correct approach to this condition must consider all the anatomic and clinicopathological aspects of the disease; this knowledge joined to an eclectic attitude of the surgeon, who should be familiar with different types of treatment, is the only guarantee for a satisfactory treatment. As a conclusion, it is worthwhile to remember that adequate initial treatment significantly reduces recurrence, which, when it occurs, is usually due to failure to recognise the tract and primary opening at the initial operation. |
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Authors:
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Claudio Fucini; Iacopo Giani |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: World journal of gastroenterology : WJG Volume: 17 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-08-30 Completed Date: 2011-12-06 Revised Date: 2013-05-29 |
Medline Journal Info:
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Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
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Languages: eng Pagination: 3297-9 Citation Subset: IM |
Affiliation:
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Department of Medical and Surgical Critical Care, Section of General Surgery, University of Florence, Florence 50100, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Disease Management* Humans Postoperative Complications Rectal Fistula / prevention & control, surgery* Recurrence Treatment Outcome |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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