z Turkyilmaz, R Karabulut, K Sonmez, S Eryilmaz, V Tairov

Abstract

Fistula-in-ano (FIA) is a common condition in infancy, often accompanied by perianal abscess (PA). Primary treatment approach is conservative whether it is PA or FIA. The most frequently performed surgeries in non-healing FIA are fistolotomy and fistulectomy, in which the recurrence rate is between 0 to 68%. Seton placement used in adult patients especially in intersphincteric fistulae in the treatment of FIA has been used in a limited number of studies conducted in children. It was our aim with this study to present our experience in three patients on whom seton placement was carried out in FIA by using the wristband part of the surgical glove. Recurrence was not seen in seton placements conducted in our patients. Operation time is usually limited to 20 minutes. Moreover, the material used as seton in our study was the wristband of the surgical glove, which is both cheap and easy to use. Seton placement used quickly and cheaply for FIA in children should be preferred due to no recurrence and incontinence.

肛瘺（FIA）常見於嬰兒，常併發肛周膿腫（PA）。對FIA或PA的初始治療都是保守性質。對不癒合的FIA所進行的手術處理，最常見的是瘺管切開術或瘺管切除術，其復發率為0-68%。掛線置入，原來用於成人肛瘺尤其是括約肌間瘺治療，已在少數研究中用於兒童病人。本研究目的，在於報告作者的經驗，以外科手術手套的碗口部分進行掛線置入治療3例FIA病人。所進行的掛線置入的病人沒有復發。手術時間通常20分鐘內。此外，所用的掛線是外科手術手套的碗口部分，便宜而且容易使用。掛線置入可快速廉價治療兒童FIA，沒有復發和大便失禁，應優先採用。