[Long-term follow-up of the treatment of high anal fistulas using fibrin glue].
OBJECTIVE
Many of the treatments proposed for trans-sphincteric and suprasphincteric anal fistulas are complex and often associated with permanent damage to the sphincter mechanism. In this study, we evaluate the long-term stability of fistula closure using fibrin glue.


METHODS
Forty-five consecutive patients (mean age 41.5) underwent this procedure. Follow-up was obtained from all patients and their primary care physicians by January 1, 2008.


RESULTS
Mean follow-up was 67 months. All recurrences occurred in the first six months after the initial fibrin glue injection procedure; there were no late recurrences.


CONCLUSIONS
Long-term follow-up confirmed the safety, efficacy and durability of fibrin glue fistula closure.
Jurczak
F
F
Service de chirurgie générale et digestive, polyclinique de l'Océan, pôle hospitalier mutualiste, 38, rue de Pornichet, 44600 Saint-Nazaire, France. florent.jurczak@mla.fr
Laridon
J-Y
JY
Raffaitin
P
P
Redon
Y
Y
Pousset
J-P
JP
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012003:Rectal Fistula / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome
D015718:Fibrin Tissue Adhesive