The Negative Pressure Therapy in the Treatment of Patients with High and/or Complex Recurrent Anal TransSphincteric Fistulas: Retrospective Analysis of Six Clinical Cases

Przemyslaw Ciesielski1,2*, Piotr Diuwe1 , Malgorzata Kolodziejczak2 , Tomasz Banasiewicz3

Department of General Surgery, Hospital of Matki Bozej Nieustajacej Pomocy in Wolomin, Poland 2 Warsaw Proctology Centre, St. Elzbieta Hospital in Warsaw, Poland 3 Department of General Surgery, Endocrinological and Gastroenterological Surgery, Clinical Hospital of H. Swiecickiego UM in Poznan, Poland

^*Correspondance to: Przemyslaw Ciesielski 

 PDF  Full Text DOI: 10.25107/2474-1647.3128

Abstract

Treatment of high and complex anal fistulas is difficult and associated with a high risk of recurrence or postoperative sphincter dysfunction. The search for new solutions is aimed at improving treatment results. Negative Pressure Therapy (NPT) is now more widely used in surgery with good effect, especially in the case of difficult to heal profusely discharging wounds and in the case of wounds characterised by difficult, for anatomical reasons, outflow of purulent contents. Some patients with high and complex anal fistulas meet the eligibility criteria for using negative pressure dressing, in addition, the use of negative pressure dressings is not associated with therapy-related risk of incontinence worsening. The authors present their own observations from the treatment of 6 patients with high complex anal fistulas undergoing NPT.

Keywords

Complex anal fistula; Negative wound pressure therapy; Sphincter-sparing treatment

Cite the article

Ciesielski P, Diuwe P, Kolodziejczak M, Banasiewicz T. The Negative Pressure Therapy in the Treatment of Patients with High and/or Complex Recurrent Anal Trans-Sphincteric Fistulas: Retrospective Analysis of Six Clinical Cases. Clin Surg. 2021; 6: 3128..