Abstract
AIM: to assess efficacy of FiLaC technology for extrasphincteric fistulas.PATIENTS AND METHODS: the retrospective cohort study included 56 patients with extrasphincteric fistulas of Grade III and IV. All patients underwent a modified FiLaC procedure, which consisted of excision of the fistula tract, preservation of the fistula tract inside anal canal with its laser exposure by water-absorbing Biolitec laser power of 13W and energy density of 100 J/cm. Internal fistula opening was closed with a Z-shaped absorbable suture.RESULTS: after fistula tract excision up to the anal canal we failed to insert laser probe to the internal fistulous opening in 6 (10.7%) patients due to scars. Thirty-nine (78.0%) 50 patients, who underwent FiLaC procedure were under observation with median follow-up of 27 months. Twenty (51.3%) patients had fistulas of Grade III with the recurrence occurred in 7 (35.0%) patients. Among 19 (48.7%) patients with fistulas Grade IV the recurrence was detected in all cases.CONCLUSION: FiLaC procedure is effective only for extrasphincteric fistulas Grade III.
Highlights
AIM: to assess efficacy of FiLaC technology for extrasphincteric fistulas
All patients underwent a modified FiLaC procedure, which consisted of excision of the fistula tract, preservation of the fistula tract inside anal canal with its laser exposure by water-absorbing Biolitec laser power of 13W and energy density of 100 J/cm
Internal fistula opening was closed with a Z-shaped absorbable suture
Summary
AIM: to assess efficacy of FiLaC technology for extrasphincteric fistulas. PATIENTS AND METHODS: the retrospective cohort study included 56 patients with extrasphincteric fistulas of Grade III and IV. Обоснование технологии FILAC при лечении экстрасфинктерных свищей прямой кишки. For citation: Khitaryan A.G., Alibekov A.Z., Kovalev S.A., Orekhov A.A., Kislov V.A., Romodan N., Golovina A.A. Justification of the use of technology FILAC treatment of extrasphincter fistulas of rectum.
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