title: [Complex anal fistulas. Current status of their treatment].
abstract: Out of 643 anal fistulae operated, 85 were considered complex. The author details the precautions that must be used in their cure in order to avoid a recurrence or an incompetence. Operated with these principles, a great majority of these fistulae cured completely, without important sequellae of the sphincter function. A small percentage of these fistulae are difficult to treat and liable to recurrence. These are the ano-rectal high supposedly blind fistulae or those that have an internal opening above the ano-rectal ring. The author prefers the treatment by modificating injections, of which he has a large experience. This procedure does not always guarantee cure but yields frequent long remissions.
mesh_terms: D004359:Drug Therapy, Combination; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D010118:Oxytetracycline / Q000627:therapeutic use; D012003:Rectal Fistula / Q000188:drug therapy / Q000601:surgery*; D012294:Rifamycins / Q000627:therapeutic use; D014357:Trypsin / Q000627:therapeutic use
chemical_list: D012294:Rifamycins; D014357:Trypsin; D006854:Hydrocortisone; D010118:Oxytetracycline
vernacular_title: Fistules anales complexes. Etat actuel de leur traitement.