title: [Treatment of anorectal fistulas: a still current problem].
abstract: 95% of our patients have a simple fistula in ano. The majority of these fistulas were following a cryptoglandular abscess. No definitive incontinence occurred after laying open the fistula penetrating the anal sphincter and excision of the extrasphincteric part. In only 7% there was a temporary incontinence for faeces or flatus respectively. The recurrence rate was 5%. High fistulas are seldom an indication for a seaton. In 5% we found a complex fistula with supralevator or extrasphincteric extension. Thereby we usually performed a defunctioning colostomy. This became the permanent treatment for more than half of these patients.
mesh_terms: D000038:Abscess / Q000601:surgery; D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012003:Rectal Fistula / Q000145:classification / Q000601:surgery*; D014945:Wound Healing
vernacular_title: Behandlung der Anorectalfisteln: Ein immer noch aktuelles Problem.