Introduction: Considering the extensive experience developed in 28 years of medical practice in a specialist facility dedicated to proctological surgery and the treatment of 2.467 patients presenting with an anal fistula, the authors review problems associated with this disease from an aetiopathogenic, classifying, diagnostic, and therapeutic viewpoint.

Materials And Methods: The surgical treatment of Arnous's French School was adopted. The method envisions slow sectioning of the sphincter by means of elastic constriction, even dividing surgical sessions.

Results: Results were excellent, recording 99.5% of complete healings, while failures and complications numbered 0.3% of incomplete healings, 0.2% of relapses, 2.8% of soiling, and 1.4% of transitory gas incontinence.

Conclusions: Correct diagnosis of the type of fistula, the choice of a perfect surgical technique, and thorough long-term follow-up of the postoperative progress of surgical wounds are the basic premises to achieve the patient's healing.

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Introduction: Considering the extensive experience developed in 28 years of medical practice in a specialist facility dedicated to proctological surgery and the treatment of 2.467 patients presenting with an anal fistula, the authors review problems associated with this disease from an aetiopathogenic, classifying, diagnostic, and therapeutic viewpoint.

Materials And Methods: The surgical treatment of Arnous's French School was adopted.

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[Anal fistulas: experience on 1 800 operated patients].

Minerva Chir

October 2008

Servizio Autonomo di Proctologia Chirurgica, Casa di Cura Villa Igea, Acqui Terme, Alessandria.

Aim: Considering their long experience acquired in 25 years in a specialist Hospital of Proctology and related to the treatment of 1800 patients suffering from anal fistulas, the authors reassess the problem of this affection from an etiopathogenic, classifying, diagnostic and therapeutic point of view.

Methods: Surgical treatment of Arnous's French School was performed; this method foresee a slow sphincteric sectioning by an elastic constriction, eventually with the division of the operative times.

Results: Results were excellent, with 99.

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Background: Considering their long experience acquired during the period October 1981 and October 2001 related to the treatment of 1,000 patients suffering from anal fistulas, the authors reasses the problem of this affection from an etiopathogenic, classifying, diagnostic and therapeutic point of view.

Methods: Surgical treatment of Arnous's French School was performed; these methods foresee the division of the operative times and slow sphincteric sectioning by an elastic constriction.

Results: Results were excellent: 99.

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