Combined Fistulotomy and Contralateral Anal Internal Sphincterotomy for Recurrent and Complex Anal Fistula to Prevent Recurrence

Handaya, Adeodatus Yuda and Fauzi, Aditya Rifqi (2020) Combined Fistulotomy and Contralateral Anal Internal Sphincterotomy for Recurrent and Complex Anal Fistula to Prevent Recurrence. ANNALS OF COLOPROCTOLOGY, 36 (2). pp. 122-127. ISSN 2287-9714

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Abstract

The ideal intervention in the treatment of perianal fistula prevents the onset of infection to speed healing and prevent fistula recurrence while maintaining the function of the anal sphincter. Currently, there is no consensus on the best recommended surgical technique for perianal fistula management. Several studies have shown that fistulotomy was an easy and safe procedure for treatment of perianal fistula. Lateral internal sphincterotomy is the usual procedure performed on an anal fissure to decrease the anal sphincter tone. This study reports a combination of fistulotomy and contralateral internal sphincterotomy procedures for recurrent and complex perianal fistula to prevent recurrence. Here, we report 5 cases of recurrent and complex perianal fistula. The combination of fistulotomy and contralateral internal sphincterotomy is a relatively easy and safe procedure for complex perianal fistulae. In our cases, we found neither recurrence nor postoperative anal incontinence.

Item Type: Article
Additional Information: Library Dosen
Uncontrolled Keywords: Anal fistula; Complex; Recurrence; Fistulotomy; Anal internal sphincterotomy
Subjects: R Medicine > RD Surgical Divisions
Divisions: Faculty of Medicine, Public Health and Nursing > Surgical Divisions
Depositing User: Sri JUNANDI
Date Deposited: 10 Jun 2025 03:53
Last Modified: 10 Jun 2025 03:53
URI: https://ir.lib.ugm.ac.id/id/eprint/17548

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