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 ...

BACKGROUND AND OBJECTIVES Fistula in ano is a common disease seen in the surgical outpatient department. Many procedures are advocated for the treatment of fistula in ano. However, none of the procedures is considered the gold standard. The latest addition to the list of treatment options is video-assisted anal fistula treatment (VAAFT). It is a minimally invasive, sphincter-saving procedure wi...

Low anterior resection syndrome (LARS) is the distressful defecatory functional problem after sphincter-saving surgery for rectal cancer. Although symptoms of fecal urgency, frequency, and incontinence may develop in most patients surgery, there no definitive treatments LARS. Multifactorial etiologies various risk factors have been identified, but reduction storage capacity rectum one main reas...

The aim of this study was to assess the efficacy of fissurectomy with skin advancement flap in healing chronic anal fissures without hypertonia of the internal anal sphincter. Twenty-six consecutive patients who failed healing after well-practiced topical medical therapy were enrolled. Anorectal manometry was performed preoperative and 6 months postoperatively. All patients were treated with fi...

In the treatment of distal rectal cancer, abdominoperineal resection is traditionally performed. However, the recognition of shorter safe distal resection line, intersphincteric resection technique has given a chance of sphincter-saving surgery for patients with distal rectal cancer during last two decades and still is being performed as an alternative choice of abdominoperineal resection. The ...