BACKGROUND The best treatment for anal fistula should extirpate infection and promote healing of the tract, whilst preserving the anal sphincter complex and full continence. AIM To analyze the success rate after a modified technique for ligation of the intersphincteric fistula tract (LIFT) for patients with anal fistulas. METHODS A prospective (observational coho...

BACKGROUND The anal fistula plug was developed as an alternative treatment for perianal fistulas. OBJECTIVE This study aimed to compare the anal fistula plug with the mucosal advancement flap for the treatment of high transsphincteric fistulas. DESIGN This study was a double-blinded, multicenter, randomized trial. PATIENTS Sixty patients with perianal fistulas were randomly assigned to re...

Background: Anal fistulae, especially the complex and the high ones, are a challenge to treat even for an experienced surgeon. Hence, there is a need to preoperatively evaluate anal fistula to reduce the rate of recurrence. Objective: This study was embarked on to evaluate the natural course of anal fistula and its management. Goodsall’s rule, which predicts the course of fistulous tracts, was ...

A female neonate with two openings in the introitus and an absent anal opening at the anal site presents a diagnostic challenge. Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome associated with rectovestibular fistula, though rare, should be kept in mind as a differential diagnosis of this presentation. We present such a case in a one-year-old female child with MRKH syndrome and rectovestibular f...

The treatment of anal fistula is a real challenge in anal surgery because of a significant risk of failure or recurrence and especially of anal incontinence. Fistulotomy, in its different forms, is the treatment of choice but alternatives are sometimes necessary in cases of risk of anal continence. These alternatives, called sphincter-saving procedures are numerous, but their success rates are ...

OBJECTIVE To determine the surgical technique "core out fistulectomy with anal sphincter reconstruction and primary closure of internal opening" in the treatment of trans-sphincteric fistula (high type or long tract) or supra-sphincteric fistula in terms of fistula healing, morbidity, recurrence and anal continence. MATERIAL AND METHOD Between January 2004 and December 2005, 33 patients were ...