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  • Title: [Treatment of anorectal fistulas: a still current problem].
    Author: Weber E, Buchmann P.
    Journal: Chirurg; 1984 Oct; 55(10):657-60. PubMed ID: 6510077.
    Abstract:
    95% of our patients have a simple fistula in ano. The majority of these fistulas were following a cryptoglandular abscess. No definitive incontinence occurred after laying open the fistula penetrating the anal sphincter and excision of the extrasphincteric part. In only 7% there was a temporary incontinence for faeces or flatus respectively. The recurrence rate was 5%. High fistulas are seldom an indication for a seaton. In 5% we found a complex fistula with supralevator or extrasphincteric extension. Thereby we usually performed a defunctioning colostomy. This became the permanent treatment for more than half of these patients.
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