Staged Mucosal Advancement Flap versus Staged Fibrin Sealant in the Treatment of Complex Perianal Fistulas
Joint Authors
van der Hagen, S. J.
Baeten, C. G.
Soeters, P. B.
van Gemert, W. G.
Source
Gastroenterology Research and Practice
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-07-26
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
In this prospective randomised study, the staged mucosal advancement flap is compared with staged fibrin sealant application in the treatment of perianal fistulas.
Methods.
All patients with high complex cryptoglandular fistulas were randomised to closure of the internal opening by a mucosal advancement flap (MF) or injection with fibrin sealant (FS) after treatment with setons.
Recurrence rate and incontinence disorders were explored.
Results.
The MF group (5 females and 10 males) with a median age of 51 years and a median followup of 52 months.
The FS group (4 females and 11 males) with a median age of 45 years and a median followup of 49 months.
Three (20%) patients of the MF group had a recurrent fistula compared to 9 (60%) of the FS group (P=0.03).
No new continence disorders developed.
Conclusion.
Staged FS injection has a much lower success rate compared to MF.
American Psychological Association (APA)
van der Hagen, S. J.& Baeten, C. G.& Soeters, P. B.& van Gemert, W. G.. 2011. Staged Mucosal Advancement Flap versus Staged Fibrin Sealant in the Treatment of Complex Perianal Fistulas. Gastroenterology Research and Practice،Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-452874
Modern Language Association (MLA)
van der Hagen, S. J.…[et al.]. Staged Mucosal Advancement Flap versus Staged Fibrin Sealant in the Treatment of Complex Perianal Fistulas. Gastroenterology Research and Practice No. 2011 (2011), pp.1-7.
https://search.emarefa.net/detail/BIM-452874
American Medical Association (AMA)
van der Hagen, S. J.& Baeten, C. G.& Soeters, P. B.& van Gemert, W. G.. Staged Mucosal Advancement Flap versus Staged Fibrin Sealant in the Treatment of Complex Perianal Fistulas. Gastroenterology Research and Practice. 2011. Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-452874
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-452874
