6533b823fe1ef96bd127eb61
RESEARCH PRODUCT
The use of an endostapler in the treatment of supralevator abscess of intersphincteric origin.
Matteo FrassonPablo Granero-castroOmar CarreñoÁLvaro García-graneroEduardo García-graneroBlas Flor-lorentesubject
medicine.medical_specialtySupralevator abscessFistulaEndoscopy GastrointestinalAnal abscessSurgical StaplersSurgical StaplingmedicineHumansStage (cooking)AbscessCrohn's diseaseAnus Diseasesbusiness.industryGeneral surgeryGastroenterologyTechnical noteendostaplermedicine.diseaseAbscessSurgerysupralevator abscessCrohn's diseaseCatheterTreatment OutcomeDrainagebusinessFollow-Up Studiesdescription
Aim This technical note describes the use of an endostapler for the definitive treatment of supralevator abscess upward from an intersphincteric origin. Method A two-stage treatment was performed. First an endoanal drainage was performed by inserting a mushroom catheter in the supralevator abscess cavity. In the second stage transanal unroofing of the fistula was performed with an endostapler. Results Since 2011, three patients have been treated in this way. After 2 years of follow up, none of the patients had recurrence of the abscess or been referred for anal incontinence. Conclusion The use of an endostapler in the treatment of supralevator abscess of intersphincteric origin may be an alternative to decrease the risk of recurrence and incontinence.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2014-08-13 | Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland |