title: [Anodermal advancement flap-plasty as alternative treatment method to endorectal closure techniques in therapy of high anal fistulas. A prospective study of 31 patients].
abstract: From January 1992 until April 1995, 31 patients with trans- and suprasphincteric anal fistulae (transsphincteric n = 21; suprasphincteric n = 4; transsphincteric in Crohn's disease n = 6) underwent a fistulectomy followed by closure of the internal opening by suture and anocutaneous flap. All patients had undergone previous operations, some several times. The recurrence rate of 13% appeared to be low after a short follow-up. Continence was only negligibly impaired, although the anal resting pressure and contraction pressure were significantly reduced. In five patients a shortened prewarning period was noticed. Also in Crohn's fistulae the results were equivalent when the surgical treatment was performed in a non-inflammatory period.
authors.affiliation: Coloproktologische Klinik, St. Joseph-Hospitals Laar, Duisburg.
authors.forename: A
authors.initials: A
authors.lastname: Köhler
authors.forename: S
authors.initials: S
authors.lastname: Athanasiadis
mesh_terms: D000328:Adult; D003424:Crohn Disease / Q000601:surgery*; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012003:Rectal Fistula / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D013524:Surgical Flaps / Q000379:methods*; D013529:Surgical Wound Dehiscence / Q000601:surgery; D013536:Suture Techniques; D016896:Treatment Outcome
vernacular_title: Die anodermale Verschiebelappenplastik als alternative Behandlungsmethode zu den endorectalen Verschlusstechniken bei der Therapie hoher Analfisteln. Eine prospektive Studie bei 31 Patienten.