Sphincter-Sparing Anal Fistula Repair: Are We Getting Better?

Background: Sphincter-sparing repairs are commonly used to treat anal fistulas with significant muscle involvement.

Objective: The current study evaluates the trends and efficacy of sphincter-sparing repairs and determines risk factors for fistula recurrence.

Design And Settings: A retrospective review was performed at 3 university-affiliated teaching hospitals.

Facial firework injury: a case series.

Fireworks are used to celebrate a variety of religious, patriotic, and cultural holidays and events around the world. Fireworks are common in the United States, with the most popular holiday for their use being national Independence Day, also known as July Fourth. The use of fireworks within the context of celebrations and holidays presents the ideal environment for accidents that lead to severe and dangerous injuries.

Ligation of intersphincteric fistula tract: early results of a pilot study.

Background: Transsphincteric fistulotomy is associated with a variable degree of fecal incontinence that is directly related to the thickness of the sphincter mechanism overlying the fistula. Staged fistulotomy with seton or the use of cutting seton designed to reduce the proportionate incontinence rates have failed to do so. This has resulted in attempts to find novel sphincter-sparing techniques in the past 2 decades including draining seton, fibrin sealant, anal fistula plug, dermal advancement, and endorectal advancement flaps.