? B.A.-BA SANS EBM…? du traitement des abcès et des fistules anales: 10 questions basiques (… ou à se poser fréquemment)

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• 作者：A. Senéjoux (1)
  L. Siproudhis (2)
  
• 关键词：Fistule anale ; Abcès anal ; Antibiotiques ; Drainage ; IRM ; Incontinence anale ; Fistulotomie ; Séton ; LIFT ; Lambeau d’avancement ; Encollage ; Plug ; Anal fistula ; Anal abscess ; Antibiotics ; Drainage ; MRI ; Anal incontinence ; Fistulotomie ; Seton ; LIFT ; Advancement flap ; Fibrin glue ; Fistula plug
• 刊名：C?lon & Rectum
• 出版年：2013
• 出版时间：November 2013
• 年：2013
• 卷：7
• 期：4
• 页码：205-208
• 全文大小：
• 作者单位：A. Senéjoux (1)
  L. Siproudhis (2)
  
  1. Centre Hospitalier Privé Rennes Saint Grégoire, 6, boulevard de la Boutière, 35760, Saint Grégoire, France
  2. Service des Maladies de l’Appareil Digestif, CHRU Pontchaillou, 35033, Rennes cedex, France
  
• ISSN：1951-638X

文摘

Treatment of anal abscess is surgical incision. It is possible to treat a fistula at the stage of abscess if it seems clear that the origin of the abscess is a fistula or if it is a recurrence. The aim of fistula treatment is to cure the suppuration and to preserve continence, it must consider the type of fistula (height, complexity) and the patient’s history. Imaging is useful in complex anatomical situations or when the fistula has already been operated on several times. Fistulotomy is the most effective treatment for anal fistulas in the hands of a trained operator. It can be performed in one or several stages. The risk of impaired continence concerns mainly high, anterior fistulas in women, or occurring in a subject with diarrhea or already impaired continence. At the initial management of a high or complex anal fistula, it is important to plan already the nature of the subsequent surgery to be performed. A short tract is preferred if fistulotomy is considered, a long tract is better for gluing or plugging.