PMID- 25280598
OWN - NLM
STAT- MEDLINE
DCOM- 20160211
LR  - 20220408
IS  - 1878-7886 (Electronic)
IS  - 1878-7886 (Linking)
VI  - 152
IP  - 2 Suppl
DP  - 2015 Apr
TI  - Sphincter-sparing techniques for fistulas-in-ano.
PG  - S31-6
LID - S1878-7886(14)00108-8 [pii]
LID - 10.1016/j.jviscsurg.2014.08.002 [doi]
AB  - Anal fistulas require surgical treatment to cure the fistula. Fistulotomy is the 
      treatment of choice because of its high success rate, but it also carries a risk 
      of postoperative incontinence. Different methods have been proposed to overcome 
      the need for dividing part or all of the sphincter, so-called "sphincter saving 
      techniques" (SST), such as flap advancement, intrafistular injection of glue, or 
      the insertion of a bio-prosthesis (collagen plug). However, the success rate of 
      SSTs is lower than that of fistulotomy. Ligation of the Intersphincteric Fistula 
      Tract (LIFT) is one of the most recent SSTs. It aims to ligate and transect the 
      fistula by an approach through the intersphincteric space. The methodological 
      quality of most published studies has been only average, but several studies have 
      reported attractive success rates of 70 to 95% without postoperative 
      incontinence. Other techniques such as endo-anal clip or injection of autologous 
      stem cells are still anecdotal.
CI  - Copyright (c) 2014. Published by Elsevier Masson SAS.
FAU - Pommaret, E
AU  - Pommaret E
AD  - Service de proctologie medico-chirurgicale, groupe hospitalier Paris 
      Saint-Joseph, institut Leopold-Bellan, 185, rue Raymond-Losserand, 75014 Paris, 
      France. Electronic address: epommaret@yahoo.fr.
FAU - Benfredj, P
AU  - Benfredj P
AD  - Service de proctologie medico-chirurgicale, groupe hospitalier Paris 
      Saint-Joseph, institut Leopold-Bellan, 185, rue Raymond-Losserand, 75014 Paris, 
      France.
FAU - Soudan, D
AU  - Soudan D
AD  - Service de proctologie medico-chirurgicale, groupe hospitalier Paris 
      Saint-Joseph, institut Leopold-Bellan, 185, rue Raymond-Losserand, 75014 Paris, 
      France.
FAU - de Parades, V
AU  - de Parades V
AD  - Service de proctologie medico-chirurgicale, groupe hospitalier Paris 
      Saint-Joseph, institut Leopold-Bellan, 185, rue Raymond-Losserand, 75014 Paris, 
      France.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20141003
PL  - France
TA  - J Visc Surg
JT  - Journal of visceral surgery
JID - 101532664
RN  - 0 (Fibrin Tissue Adhesive)
RN  - 0 (Tissue Adhesives)
SB  - IM
MH  - *Anal Canal
MH  - Evidence-Based Medicine
MH  - Fecal Incontinence/etiology
MH  - Fibrin Tissue Adhesive/administration & dosage
MH  - Humans
MH  - Ligation/methods
MH  - Organ Sparing Treatments/methods
MH  - Quality of Life
MH  - Rectal Fistula/classification/*surgery/therapy
MH  - *Surgical Flaps
MH  - Tissue Adhesives/administration & dosage
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Advancement flap
OT  - Anal fistula
OT  - Autologous stem cells
OT  - Clip
OT  - Fibrin glue
OT  - Incontinence
OT  - Plug
OT  - Sphincter saving
EDAT- 2014/10/05 06:00
MHDA- 2016/02/13 06:00
CRDT- 2014/10/05 06:00
PHST- 2014/10/05 06:00 [entrez]
PHST- 2014/10/05 06:00 [pubmed]
PHST- 2016/02/13 06:00 [medline]
AID - S1878-7886(14)00108-8 [pii]
AID - 10.1016/j.jviscsurg.2014.08.002 [doi]
PST - ppublish
SO  - J Visc Surg. 2015 Apr;152(2 Suppl):S31-6. doi: 10.1016/j.jviscsurg.2014.08.002. 
      Epub 2014 Oct 3.