[Complex anal fistula treated with cutting seton].

Background: Anorectal sepsis is a frequent condition presenting in the office of colorectal specialists. The acute phase presents as an abscess and the chronic phase as a fistula. We undertook this study to report the experience of the Coloproctology Unit of the General Hospital of Mexico in the management of complex anal fistula with cutting seton.

[Incidence, diagnosis and treatment of colovesical fistula].

Background: Enterovesical fistula, also known as vesicoenteric fistula, is an abnormal communication of the vesical bladder with a segment of the digestive tract. We undertook this study to describe diagnostic and therapeutic methods to treat colovesical fistula (CVF) in patients who attended the Coloproctology Unit of the Gastroenterology Service of the General Hospital in Mexico City.

Methods: This is a descriptive study in CVF patients carried out from January 2001 to June 2006; descriptive statistics were used for analysis of information.

[Treatment of chronic anal fissure with botulinic toxin type A].

Unlabelled: Anal fissure is a disease that generally affects to young people, but it can present at any age.

Purpose: To show our experience in the treatment of chronic anal fissure with botulinum toxin type A.

Material And Methods: This is a prospective, experimental and longitudinal study realized in the Coloproctology Unit in the General Hospital of Mexico City and in Medical North of Monterrey, Mexico, between June 2002 and November 2004.

[Results and analysis of Ferguson-type hemorrhoidectomy].

Background: We undertook this study to demonstrate the experience with Ferguson hemorrhoidectomy in the Coloproctology Unit in the Gastroenterology Service of the General Hospital in Mexico City.

Methods: A prospective, descriptive and observational study was designed and included patients with hemorrhoidal disease submitted to hemorrhoidectomy with Ferguson technique, from May 1999 to April 2004. Preoperative data included in the patient's chart was as follows: sex, age, time of evolution of symptoms, classification of hemorrhoids, associated disease, operative duration, immediate and late surgical complications and their management and healing duration.

[Non-surgical alternative management of hemorrhoidal disease].

Unlabelled: Clinical manifestations of hemorrhoidal disease depend on its location (internal or external) and the presence or not of complications.

Purpose: To describe the results of the three most common alternatives for non-surgical procedures treating internal hemorrhoids: rubber band ligation, esclerotherapy and infrared photocoagulation.

Materials And Methods: A retrospective, longitudinal and descriptive study from January 1998 to December 2002 was carried out, including variables like age, gender, clinical manifestations and date of initiation, type of non-surgical alternative treatment, complications, management and stage of the illness.

[Hidradenitis suppurativa].

Background: Hidradenitis suppurativa is an inflammatory, chronic and recurrent disease of appocrine glands, located in inguinal, axillar, perineal, perianal areas and scalp.

Objective: To determine the frequency and therapeutic management.

Methods: A retrospective, transverse, and descriptive study was carried out.

[Surgical alternatives in the treatment of anal abscesses].

Introduction: Anal abscess is a pus collection localized in some of the regions around the anus and rectum. We reviewed the experience in the management of abscesses in Coloproctology Unit at the Gastroenterology Service in the General Hospital of Mexico.

Material And Methods: This is a retrospective, longitudinal and descriptive study in patients diagnosed as carriers of an anal abscess during the period from January 1998 to December 2002.

[Surgical management of anal fistula].

Unlabelled: Anal fistula has been known since the beginning of medical history and is defined as a duct of fibrous infected walls that runs from anal crypt to skin or rectal lumen. Internal orifice is called primary or internal, while cutaneous orifice is referred to as secondary or external. Several techniques have been developed for surgical management of anal fistula, including fistulotomy, fistulectomy with or without sphincter repair, placement of sedal cutting or seton drainage, endorectal advancement flap, and fibrin glue, among others.

[Hemorrhoidal desarterialization guided by Doppler. A surgical alternative in hemorrhoidal disease management].

Background: Hemorrhoidal disease is a common condition that includes 30% of patients seen for the first time at the Colon and Rectal Unit of the Gastroenterology Service, Hospital General in Mexico City. This study shows experience with hemorrhoidal desarterialization guided by Doppler in patients with internal hemorrhoidal disease stages II or III in the Coloproctology Units of the Hospital General in Mexico City and at the North Medical Unit in Monterrey, Nuevo Leon, Mexico.

Materials And Methods: A prospective, longitudinal, and descriptive study was performed in 56 patients with diagnosis of internal hemorrhoids stages II or III, not complicated, and treated by hemorrhoidal artery ligation guided by Doppler between July 1, 2002 and April 31, 2003.

[Management of the rectovaginal fistula. A review of five years at the Colon and Rectal Unit of the General Hospital of Mexico City].

Background: Rectovaginal fistula, although infrequent, produces considerable discomfort to the patients and disables them in their social life.

Objectives: To review and report the experience in the management of rectovaginal fistula in the Colon and Rectal Unit of the General Hospital of Mexico City, from January 1997 to December 2001.

Material And Methods: A retrospective, observational and descriptive study was designed including all patients diagnosed with rectovaginal fistula, who had not been previously operated for this condition in the Colon and Rectal Unit of the General Hospital of Mexico City from January 1977 to December 2001.