title: [Chronic postoperative rectal fistulae. Treatment by transanal colo-anal anastomosis. Apropos of 4 cases].
abstract: In a few cases, the postoperative rectal fistulas progress towards chronicity despite correct treatment and left iliac derivation. In 4 cases of such fistulas (3 females and 1 male, mean age 46 years), developed after rectal surgery and persisting for 2 to 16 months in young subjects, in good general condition and with a good long-term prognosis, we performed rectal resection with transanal colo-anal anastomosis according to the Parks technique. This procedure led to healing of the course of the fistulas, then closure of the derivation anus in the 4 patients. The functional results proved to be satisfactory, following short-term rehabilitation with biofeedback. After discussing the other surgical possibilities, the authors estimate that such a radical cure must be decided upon without delay, in case of chronic rectal fistula.
authors.affiliation: Service de Chirurgie Digestive, Hôpital Sainte Marguerite, Marseille.
authors.forename: J C
authors.initials: JC
authors.lastname: Sarles
authors.forename: A
authors.initials: A
authors.lastname: Joly
authors.forename: B
authors.initials: B
authors.lastname: Consentino
authors.forename: A
authors.initials: A
authors.lastname: Arnaud
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D002908:Chronic Disease; D003108:Colonic Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012002:Rectal Diseases / Q000601:surgery*; D012003:Rectal Fistula / Q000601:surgery*
vernacular_title: Les fistules rectales chroniques post-opératoires. Traitement par anastomose colo-anale transanale. A propos de 4 cas.