Anorectal Fistulae: Results of Treatment with Cauterization
作者:
Ahmed Shafik,
El-Sayed Abdel-Wahab,
El-Sibai Olfat,
Abdulla Khalil,
期刊:
Digestive Surgery
(Karger Available online 1994)
卷期:
Volume 11,
issue 1
页码: 16-19
ISSN:0253-4886
年代: 1994
DOI:10.1159/000172213
出版商: S. Karger AG
关键词: Anal canal;Rectal neck;Rectum;Fistula-in-ano
数据来源: Karger
摘要:
The results of treatment of anorectal fistula by electrocauterization in 24 patients were compared with those obtained by ‘laying-open’ operation in another 24 patients. The two groups were matched for age, sex, fistula type and follow-up duration. In the cautery group, a fistula cautery probe was introduced into the fistulous track and the electric current was switched on for a few seconds. The laying-open operation was done in the classical way. In the electrocauterization group, recurrence occurred in 3 patients (12.5%). The procedure was done under local anesthesia, as an outpatient procedure. Mild analgesics were given to 8 patients. No antibiotics were administered. Continence was not affected. In the group undergoing laying-open operation, recurrence occurred in 4 patients (16.7%). The procedure was performed under general anesthesia with a mean hospital stay of 2.2 days. Analgesics and antibiotics were given to all patients. Temporary continence disorders occurred in 3 patients; 1 patient remained incontinent for flatus and fluid stools. In conclusion, electrocauterization for anorectal fistula is a simple, easy, safe and effective procedure. Moreover it is less expensive and performed on an outpatient ba
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