Closing perianal fistulas using a laser: long-term results in 103 patients

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dc.authoridNaciye Çiğdem Arslan / 0000-0002-2282-7207
dc.authorscopusidNaciye Çiğdem Arslan / 54404738000
dc.authorwosidNaciye Çiğdem Arslan / G-5949-2016
dc.contributor.authorTerzi, Mustafa Cem
dc.contributor.authorAğalar, Cihan
dc.contributor.authorHabip, Sarı
dc.contributor.authorCanda, Aras Emre
dc.contributor.authorArslan, Naciye Çiğdem
dc.contributor.authorObuz, Funda
dc.date.accessioned2020-08-30T20:07:34Zen_US
dc.date.available2020-08-30T20:07:34Zen_US
dc.date.issued2018
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBACKGROUND: Primary closure of the fistula tract using energy emitted by a radial fiber connected to a diode laser is a novel procedure for treating perianal fistulas. OBJECTIVE: The aim of this study was to determine the long-term effectiveness of this new technique. DESIGN: The surgical objective was to seal the fistula tract using laser energy. SETTINGS: The study was conducted at a single day-case surgery center. PATIENTS: Between April 2012 and June 2016, 103 consecutive patients with primary or recurrent perianal fistula underwent a laser closure procedure using a 12-watt laser emitting at a wavelength of 1470 nm. MAIN OUTCOME MEASURES: Patients were classified according to the Park classification, and healing was evaluated based on the perianal fistula disease severity score. RESULTS: Among the 103 patients treated using the laser closure procedure, 82 (80%) were men and 21 (20%) were women. The median age of the patients was 43 years (range, 18-78 y). Fifty-three patients (52%) had previous perianal fistula repair surgery. Based on the Park classification, 56 patients (54%) had intersphincteric fistula, 29 (28%) had transsphincteric fistula, 11 (11%) had suprasphincteric or extrasphincteric fistula, and 7 (7%) had superficial perianal fistula. Based on the perianal disease severity score, 41 patients (40%) obtained overall complete healing, 38 (37%) had persistent symptomatic drainage, 20 (19%) had slight drainage with minimal symptoms, and 4 (4%) had painful symptomatic drainage. LIMITATIONS: This was a retrospective analysis of noncomparative data with a lack of formal prospective continence assessment. CONCLUSIONS: Closure of perianal fistulas using a laser should be considered as a treatment option but with modest expectations. Although our complete healing rate was not as high as in earlier studies, this technique is a reasonable option with nearly no risk of sphincter damage when treating perianal fistulas. See Video Abstract at http://links.lww.com/DCR/A545.en_US
dc.identifier.citationMustafa, C. T., & Cihan, A. (2018). Closing Perianal Fistulas Using a Laser: Long-Term Results in 103 Patients. Dis Colon Rectum, 61(5), 00-00.en_US
dc.identifier.doi10.1097/DCR.0000000000001038en_US
dc.identifier.endpage603en_US
dc.identifier.issn0012-3706en_US
dc.identifier.issn1530-0358en_US
dc.identifier.issue5en_US
dc.identifier.pmid29528908en_US
dc.identifier.scopus2-s2.0-85050886239en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage599en_US
dc.identifier.urihttps://doi.org/10.1097/DCR.0000000000001038en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12713/791en_US
dc.identifier.volume61en_US
dc.identifier.wosWOS:000437671500703en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorArslan, Naciye Çiğdemen_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofDiseases of The Colon & Rectumen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFistula-Tract Laser Closureen_US
dc.subjectLaser Closureen_US
dc.subjectPerianal Fistulaen_US
dc.titleClosing perianal fistulas using a laser: long-term results in 103 patientsen_US
dc.typeArticleen_US

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