Edorium Journal of

Surgery

 
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Original Article
 
Fistulectomy and primary repair of wound and anal sphincter by Lasheen's sutures for high perianal fistula
Ahmed E. Lasheen1, Khaled Safwat1, Basem Sieda1, Mostafa Baiomy1, Ashraf Ismaeil1, Zaki Allam1, Wael Awad1
1General, laparoscopic Department, Zagazig University Hospital, Zagazig University, 44519, Egypt.

Article ID: 100007S05AL2015
doi:10.5348/S05-2015-7-OA-5

Address correspondence to:
Ahmed E. lasheen
General Surgery Department, Faculty of Medicine
Zagazig University 44519
Egypt
Phone: 0020552343035

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How to cite this article
Lasheen AE, Safwat K, Sieda B, Baiomy M, Ismaeil A, Allam Z, Awad W. Fistulectomy and primary repair of wound and anal sphincter by Lasheen's sutures for high perianal fistula. Edorium J Surg 2015;2:16–20.


Abstract
Aims: Several techniques have been described for the management of fistula-in-ano. Ideal surgical treatment for anal fistula should aim to eradicate sepsis and promote healing of the tract, whilst preserving the sphincters and the mechanism of continence. This study offers our technique to achieve this goal.
Methods: Between January 2013 and December 2014, 77 patients with high perianal fistula were treated by fistulectomy and repair of the anal wound and sphincter by multiple Lasheen's sutures. The clinical outcome was assessed in terms of continence and recurrence for follow-up period (ranged from 3 to 24 months).
Results: The anorectal wounds were healed within 4 to 6 weeks. Early complications included superficial wound infection in 27 patients (35%), urine retention 21 patients (27%), transient incontinence in 41 patients (53%) for flatus for period ranged from 2 to 3 weeks. No permanent incontinence, no deep infection, or abscess formation, or recurrence was recorded during the follow-up period.
Conclusion: Our technique is easy, novel, and associated with good results for high perianal fistula management.

Keywords: Anal sphincter, Fistulectomy, Lasheen's suture, Perianal fistula, Wound

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Author Contributions:
Ahmed E. Lasheen – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Khaled Safwat – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Basem Sieda – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mostafa Baiomy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ashraf Ismaeil – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Zaki Allam – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Wael Awad – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Ahmed E. Lasheen et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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