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Can the external anal sphincter be preserved in the treatment of trans-sphincteric fistula-in-ano?

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Abstract

A method of preserving the external anal sphincter in the treatment of complex trans-sphincteric fistula-in-ano is described. Cure without division of the external sphincter was possible in 44% of cases. Disturbances of continence, common after conventional fistula surgery, appeared to be reduced in those patients whose extenal sphincter remains intact.

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References

  1. Hawley PR (1975) Anorectal fistula. Clin Gastroenterol 4:635–649

    Google Scholar 

  2. Thomson HR (1962) The orthodox conception of fistula-in-ano and its treatment. Proc Roy Soc Med 55:754–756

    Google Scholar 

  3. Belliveau P, Thomson JPS, Parks AG (1983) Fistula-in-ano: a manometric study. Dis Col Rect 26:152–154

    Google Scholar 

  4. Marks CG, Ritchie JK (1977) Anal fistulas at St Mark's Hospital. Br J Surg 64:84–91

    Google Scholar 

  5. Parks AG (1961) Pathogenesis and treatment of fistula-inano. Br Med J i:463–459

    Google Scholar 

  6. Eisenhammer S (1956) The internal anal sphincter and the anorectal abscess. Surg Gynaecol Obstet 103:501–506

    Google Scholar 

  7. Parks AG, Stitz RM (1976) The treatment of high fistula-inano. Dis Col Rect 19:487–499

    Google Scholar 

  8. Parks AG, Gordon PH, Hardcastle JD (1976) A classification of fistula-in-ano. Br J Surg 63:1–12

    Google Scholar 

  9. Bennett RC (1962) A review of the results of orthodox treatment for anal fistulae. Proc Roy Soc Med 55:756–757

    Google Scholar 

  10. Mann CV, Clifton M (1985) Rerouting of the track for the treatment of high anal and anorectal fistulae. Br J Surg 72:134–137

    Google Scholar 

  11. Vasilevsky CA, Gordon PH (1985) Results of treatment of fistula-in-ano. Dis Col Rect 28:225–231

    Google Scholar 

  12. Hill JR (1967) Fistulae and fistulous abscesses in the anorectal region. Personal experiences in management. Dis Col Rect 10:421–434

    Google Scholar 

  13. Ewarth S, Ahlberg J, Collste G, Holmstrom B (1978) Fistula-in-ano. A six year follow-up study of 143 operated patients. Acta Chir Scand [Suppl] 482:53–55

    Google Scholar 

  14. Hanley PH, Ray JE, Pennington EE, Grabowsky OM (1976) Fistula-in-ano: a ten year follow-up of horseshoe-abscess fistula-in-ano. Dis Col Rect 19:507–515

    Google Scholar 

  15. Gabriel WB (1963) The principles and practice of rectal surgery, 5th edn. Thomas, Springfield

    Google Scholar 

  16. Kuypers HC (1984) Use of the seton in the treatment of extrasphincteric anal fistula. Dis Col Rect 27:109–110

    Google Scholar 

  17. Hanley PH (1978) Rubber band seton in the management of abscess-anal fistula. Ann Surg 187:435–437

    Google Scholar 

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Author notes

  1. A. H. McL Ross

    Present address: Surgical Unit, Broomfield Hospital, CM1 5ET, Chelmsford, Essex, UK

Authors and Affiliations

  1. St. Mark's Hospital, London, UK

    J. P. S. Thomson & A. H. McL Ross

Authors
  1. J. P. S. Thomson
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  2. A. H. McL Ross
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Thomson, J.P.S., Ross, A.H.M. Can the external anal sphincter be preserved in the treatment of trans-sphincteric fistula-in-ano?. Int J Colorect Dis 4, 247–250 (1989). https://doi.org/10.1007/BF01644991

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  • DOI: https://doi.org/10.1007/BF01644991

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