Evaluation and management of perianal abscess and anal fistula: a consensus statement developed by the Italian Society of Colorectal Surgery (SICCR)

被引:71
作者
Amato, A. [1 ]
Bottini, C. [2 ]
De Nardi, P. [3 ]
Giamundo, P. [4 ]
Lauretta, A. [5 ]
Luc, A. Realis [6 ]
Tegon, G. [7 ]
Nicholls, R. J. [8 ]
机构
[1] Hosp Sanremo, Dept Surg, Coloproctol Unit, San Remo, IM, Italy
[2] Hosp S Antonio Abate, Deparment Surg, Gallarate, VA, Italy
[3] Ist Sci San Raffaele, Div Gastrointestinal Surg, I-20132 Milan, Italy
[4] Hosp Santo Spirito, Deparment Gen Surg, Bra, CN, Italy
[5] Hosp Santa Maria dei Battuti, Dept Gen Surg, San Vito Al Tagliamento, PD, Italy
[6] Hosp S Rita, Coloproctol Unit, Vercelli, Italy
[7] Hosp S Camillo, Proctol Unit, Treviso, Italy
[8] St Marks Hosp, Emeritus Consultant Surg, London EC1V 2PS, England
关键词
Fistula-in-ano; Perianal abscess; Seton; Advancement flap; LIFT; Plug; Fibrin glue; Horseshoe extension; Transsphincteric fistula; VAAFT; ENDORECTAL ADVANCEMENT FLAP; SPHINCTER-SAVING TECHNIQUE; IN-ANO; LONG-TERM; ENDOANAL ULTRASOUND; FIBRIN GLUE; PREOPERATIVE ASSESSMENT; SURGICAL-TREATMENT; TREATING FISTULA; SYNTHETIC PLUG;
D O I
10.1007/s10151-015-1365-7
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Perianal sepsis is a common condition ranging from acute abscess to chronic fistula formation. In most cases, the source is considered to be a non-specific cryptoglandular infection starting from the intersphincteric space. The key to successful treatment is the eradication of the primary track. As surgery may lead to a disturbance of continence, several sphincter-preserving techniques have been developed. This consensus statement examines the pertinent literature and provides evidence-based recommendations to improve individualized management of patients.
引用
收藏
页码:595 / 606
页数:12
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