FILAC TECHNOLOGY FOR EXTRASPHINCTERIC FISTULAS
https://doi.org/10.33878/2073-7556-2019-18-2-75-81
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.
About the Authors
A. G. Khitaryan
The Rostov State Medical University;
Road Clinical Hospital at Rostov-Main «Russian Railways»
Russian Federation
Department of surgical diseases №3
Russian Federation
Department of surgical diseases №3
A. Z. Alibekov
The Rostov State Medical University;
Road Clinical Hospital at Rostov-Main «Russian Railways»
Russian Federation
Department of surgical diseases №3
Russian Federation
Department of surgical diseases №3
S. A. Kovalev
The Rostov State Medical University;
Road Clinical Hospital at Rostov-Main «Russian Railways»
Russian Federation
Department of surgical diseases №3
Russian Federation
Department of surgical diseases №3
A. A. Orekhov
The Rostov State Medical University;
Road Clinical Hospital at Rostov-Main «Russian Railways»
Russian Federation
Department of surgical diseases №3
Russian Federation
Department of surgical diseases №3
V. A. Kislov
The Rostov State Medical University
Russian Federation
Department of surgical diseases №3
Russian Federation
Department of surgical diseases №3
N. A. Romodan
Road Clinical Hospital at Rostov-Main «Russian Railways»
Russian Federation
Russian Federation
A. A. Golovina
The Rostov State Medical University
Russian Federation
Department of surgical diseases №3
Russian Federation
Department of surgical diseases №3
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Review
For citations:
Khitaryan A.G., Alibekov A.Z., Kovalev S.A., Orekhov A.A., Kislov V.A., Romodan N.A., Golovina A.A. FILAC TECHNOLOGY FOR EXTRASPHINCTERIC FISTULAS. Koloproktologia. 2019;18(2(68)):75-81. (In Russ.) https://doi.org/10.33878/2073-7556-2019-18-2-75-81
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