OP 95. Partial Fistulectomy and Fistular Wall Flap for High Perinal Fistula

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A Lasheen

Chair(s): Jiri Fronek, Ignacio Garcia Alonso & Olivér Rosero

10:10 - 10:20h at Pest Room (C)

Categories: Innovative Surgical Research, Novel Techniques and Product, Oral Session

Session: Oral Session XI - Gastrointestinal Surgery I

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Background
Controversy surrounds the management of fistula in ano especially the high type. This study assesses the clinical results of a partial fistulectomy with a closure of the internal opening using a fistular wall flap for the management of high perianal fistulas.

Material and Methods
This technique was performed in 50 patients with this condition, with the aid of a fistulectomy tube. The clinical outcome was assessed in terms of continence and recurrence for a period of 22 months after operation

Result
The technique is easy to perform, results in less morbidity, and provided successful healing in 49 patients. A recurrent fistula occurred in one patient. No continence disturbance was noted during the follow-up period.

Conclusion
This technique is thus considered to be an effective method for managing high perianal fistulas since it was found to demonstrate good results in terms of recurrence and continence