Erschienen in:
02.05.2017 | Editorial
Is FiLaC the answer for more complex perianal fistula?
verfasst von:
Manish Chand, Phil Tozer, Richard C. Cohen
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 4/2017
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Excerpt
The ancient Greeks are often credited as the first to acknowledge the challenges of perianal sepsis and associated fistulae [
1]. Indeed, 2500 years of enquiry have seen numerous procedures offered to patients; many burdened by their own inherent problems and none widely considered to represent optimal treatment. Modern-day anal fistula management can be complex and require a multidisciplinary input in Crohn’s disease. The addition of radiological assessment to thorough clinical examination facilitates anatomical delineation, usually using Parks’ classification. The most difficult fistulae are often those too high to be amenable to laying open, which has the best chance of healing. Whilst rarely a life-threatening condition, the disappointment of recurrent failure is difficult for patients, who may have to consider treatments which can impair sphincter function. One problem is the contentious issue of defining treatment success and/or fistula healing which are often synonymous. …
