Document Detail


Why do we have to review our experience in managing cases with idiopathic fistula-in-ano regularly?
MedLine Citation:
PMID:  21876617     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
"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.
Authors:
Claudio Fucini; Iacopo Giani
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  17     ISSN:  2219-2840     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-08-30     Completed Date:  2011-12-06     Revised Date:  2014-05-20    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  3297-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Disease Management*
Humans
Postoperative Complications
Rectal Fistula / prevention & control,  surgery*
Recurrence
Treatment Outcome
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