Role of Fibrin Glue in Management of Perianal Fistula in Assiut University Hospital | ||
| The Medical Journal of Cairo University | ||
| Article 12, Volume 86, June, June 2018, Pages 1179-1183 PDF (404 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2018.56265 | ||
| Authors | ||
| TAREK A. MOSTAFA, M.D.; MOSTAFA A. ABD AZIZ, M.D.; AHMED M. ALI, M.D.; MOHAMED B. NOAMAN, M.Sc. | ||
| The Department of General Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt | ||
| Abstract | ||
| Abstract Background: A fistula-in-ano is an abnormal hollow tract or cavity that is lined with granulation tissue and that connects a primary opening inside the anal canal to a secondary opening in the perianal skin; secondary tracts may be multiple and can extend from the same primary opening. Patients and Methods: In our study we had 40 patients who were complainingof fistula in ano (high and low perianal fistula). They were evaluated in the post-operative period for the complications as recurence, sphincteric disturbance, post-operative abscess and post-operative pain from June 2016 till May 2017 in the General Surgery Department in Assiut University Hospital. Results: After injection of 40 cases of perianal fistula it was found that 5 cases out of 16 cases of high perianal fistula (31.2%) developed recurrence of their fistulas tract, while 11cases did not develop recurrence (69.8%) after 6 moths follow-up. On the other hand 5 cases of low perianal fistula out of 24 cases (20.8%) developed recurrence of their fistulas with 19 cases (79.2%) that did not develop recurrence their fistulous tract after 6 months follow-up. Other complication noticed in this study was post-operative abscess and reported in 3 cases only (7.5%). There was no post-operative inconti-nence or post-operative pain or bleeding reported in this study. Conclusion: Injection of fibrin glue in aperianal fistula is simple, easy and safe technique with lower rate of compli-cation as loss of sphincteric function, post-operative pain, intra operative bleeding and post-operative wound infection. This technique can be repeated even at the out patient clinic. | ||
| Keywords | ||
| Fibrin glue – Perianal fistula | ||
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