“A study of 34 cases of high variety and complex fistula surgery with a new technique of submucosal ligation and excision of fistula tract (SLEFT)”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
High variety and complex fistula surgery is a difficult procedure but need special attention for the surgeons. We observed recurrence rates of surgical procedure of submucosal ligation with excision of the tract for complex and high variety fistula treatment. The aim of this study is to observe recurrence rate of this procedure and to develop a standard surgical technique for management of complex and high variety perianal fistula. We conducted a study at 250 bedded district sadarhospitals, Feni, Bangladesh including several private clinics in same territory from 1st January 2014 to 31st December 2017 for assessing recurrence rate of surgery of 34 patients with complex and high variety fistula. All operations were done in the selected hospitals. Datawere collected including patients’ demographic details, fistula type determined by endorectalultrasonography and MR Fistulography, preoperative and postoperative continence status, previous operations, healing rates, recurrence rates, and types of failure examined by endorectalultrasonography, re-operation in recurrence or failure cases, and complications. The study involved 34 patients who were admitted with highvariety and complex type of fistula. We observed low recurrence rate of submucosal ligation and excision fistulous tract procedure then other conventional procedure.Perianal fistula with tuberculosis, malignancy, crohn”s disease, ulcerative colitis and fistula with abscess formation are not taken into this study. There was a considerable low recurrence rate and good healing in this procedure of submucosal ligation and excision of fistula tract(SLEFT). This procedure is a good option for maintaining continence in management of perianal fistula with high and complex tract
Authors and Affiliations
Dr. Md. Kamruzzaman, Dr. Md. Matiar Rahaman Khan, Dr. Mohammad Mostafizur Rahman, Dr. Nur Mohammad, Dr. ATM Nurul Kabir
Keywords
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