title: Partial fistulectomy and fistular wall flap for the treatment of high perianal fistulas.
abstract: Controversy surrounds the management of fistula in ano especially the high type. This study assesses the clinical results of a partial fistulectomy with a closure of the internal opening using a fistular wall flap for the management of high perianal fistulas. This technique was performed in 50 patients with this condition, with the aid of a fistulectomy tube. The clinical outcome was assessed in terms of continence and recurrence for a period of 22 months after operation. The technique is easy to perform, results in less morbidity, and provided successful healing in 49 patients. A recurrent fistula occurred in one patient. No continence disturbance was noted during the follow-up period. This technique is thus considered to be an effective method for managing high perianal fistulas since it was found to demonstrate good results in terms of recurrence and continence.
authors.affiliation: Department of Surgery, Faculty of Medicine, Zagazig University, Zagazig City 44519, Egypt.
authors.forename: Ahmed E
authors.initials: AE
authors.lastname: Lasheen
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012003:Rectal Fistula / Q000175:diagnosis* / Q000601:surgery*; D018570:Risk Assessment; D012720:Severity of Illness Index; D013524:Surgical Flaps; D016896:Treatment Outcome