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치루의 외과적 치료

Surgical Treatment of Anal Fistula

대한대장항문학회지 2006년 22권 3호 p.214 ~ 220
이종균 ( Lee Jong-Kyun ) - 송도병원 외과

Abstract


Various methods of surgical treatments were introduced for the treatment of anal fistulas. A surgeon has to select carefully the method most ideal to each type of anal fistulas. The fistulotomy is an ideal technique for the treatment of intersphincteric or transsphincteric fistulas because less serious problems of incontinence and/or recurrence follow after it. For the treatment of suprasphincteric and extrasphincteric fistulas, fistulotomy is of no use because of high incidence of incontinence. In such cases, most surgeons like to use the seton technique, muscle filling method, muscle closure method, advancement flap, re-route procedure, or fibrin glue injection in order to decrease the incidence of incontinence. The techniques and indications of each surgical procedure are reviewed in detail. J Korean Soc Coloproctol 2006;22:214-220

키워드

치루;외과적 치료
Anal fistula;Surgical treatment
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