Seminars in Colon & Rectal Surgery
Volume 20, Issue 1 , Pages 24-31 , March 2009

Endoanal Advancement Flaps in the Management of Complex Anorectal Fistulas

  • Myles R. Joyce, MD
    • ,
  • Tracy L. Hull, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to: Tracy Hull, MD, The Shafran Family Charitable Endowed Chair, Digestive Diseases Institute, Colorectal Surgery, 9500 Euclid Avenue, A30, Cleveland, Ohio, 44195

References 

  1. Marks CG, Ritchie JK. Anal fistulas at St Mark's Hospital. Br J Surg. 1977;64:84–91
  2. Aguilar PS, Plasencia G, Hardy TG, et al. Mucosal advancement in the treatment of anal fistula. Dis Colon Rectum. 1985;28:496–498
  3. Dixon M, Root J, Grant S, et al. Endorectal flap advancement repair is an effective treatment for selected patients with anorectal fistulas. Am Surg. 2004;70:925–927
  4. Mitalas LE, Gosselink MP, Zimmerman DD, et al. Repeat transanal advancement flap repair: Impact on the overall healing rate of high transsphincteric fistulas and on fecal continence. Dis Colon Rectum. 2007;50:1508–1511
  5. Noble GH. A new operation for complete laceration of the perineum designed for the purpose of eliminating danger of infection from the rectum. Trans Am Gynecol Soc. 1902;27:357–363
  6. Hull TL. Rectovaginal fistula, in Current Therapy in Colon and Rectal Surgery. (ed 2). Philadelphia, PA: Elsevier, Mosby; 2005;pp 35-40
  7. Hull TL, Bartus C, Bast J, et al. Multimedia article (Success of episioproctotomy for cloaca and rectovaginal fistula). Dis Colon Rectum. 2007;50:97–101
  8. McNevin MS, Lee PY, Bax TW. Martius flap: An adjunct for repair of complex, low rectovaginal fistula. Am J Surg. 2007;193:597–599discussion:599
  9. Rabau M, Zmora O, Tulchinsky H, et al. Recto-vaginal/urethral fistula: Repair with gracilis muscle transposition. Acta Chir Iugosl. 2006;53:81–84
  10. Zmora O, Tulchinsky H, Gur E, et al. Gracilis muscle transposition for fistulas between the rectum and urethra or vagina. Dis Colon Rectum. 2006;49:1316–1321
  11. Sungurtekin U, Sungurtekin H, Kabay B, et al. Anocutaneous V–Y advancement flap for the treatment of complex perianal fistula. Dis Colon Rectum. 2004;47:2178–2183
  12. Soriano D, Lemoine A, Laplace C, et al. Results of recto-vaginal fistula repair: Retrospective analysis of 48 cases. Eur J Obstet Gynecol Reprod Biol. 2001;96:75–79
  13. Cutait DE, Cutait R, Ioshimoto M, et al. Abdominoperineal endoanal pull-through resection (A comparative study between immediate and delayed colorectal anastomosis). Dis Colon Rectum. 1985;28:294–299
  14. Kirwan WO, Turnbull RB. The Turnbull-Cutait pull through procedure for certain cancers of the rectum and Hirschsprung disease. Int Adv Surg Oncol. 1981;4:173–187
  15. Sonoda T, Hull T, Piedmonte MR, et al. Outcomes of primary repair of anorectal and rectovaginal fistulas using the endorectal advancement flap. Dis Colon Rectum. 2002;45:1622–1628
  16. Zimmerman DD, Gosselink MP, Mitalas LE, et al. Smoking impairs rectal mucosal blood flow—A pilot study: Possible implications for transanal advancement flap repair. Dis Colon Rectum. 2005;48:1228–1232
  17. Ellis CN, Clark S. Effect of tobacco smoking on advancement flap repair of complex anal fistulas. Dis Colon Rectum. 2007;50:459–463
  18. Uribe N, Millan M, Minguez M, et al. Clinical and manometric results of endorectal advancement flaps for complex anal fistula. Int J Colorectal Dis. 2007;22:259–264
  19. Hull TL, Fazio VW. Surgical approaches to low anovaginal fistula in Crohn's disease. Am J Surg. 1997;173:95–98
  20. Berman IR. Sleeve advancement anorectoplasty for complicated anorectal/vaginal fistula. Dis Colon Rectum. 1991;34:1032–1037
  21. Amin SN, Tierney GM, Lund JN, et al. V–Y advancement flap for treatment of fistula-in-ano. Dis Colon Rectum. 2003;46:540–543
  22. Nelson RL, Cintron J, Abcarian H. Dermal island-flap anoplasty for transsphincteric fistula-in-ano: Assessment of treatment failures. Dis Colon Rectum. 2000;43:681–684
  23. Hossack T, Solomon MJ, Young JM. Ano-cutaneous flap repair for complex and recurrent supra-sphincteric anal fistula. Colorectal Dis. 2005;7:187–192
  24. Athanasiadis S, Yazigi R, Kohler , et al. Recovery rates and functional results after repair for rectovaginal fistula in Crohn's disease: A comparison of different techniques. Int J Colorectal Dis. 2007;22:1051–1060
  25. Golub RW, Wise WE, Kerner BA, et al. Endorectal mucosal advancement flap: The preferred method for complex cryptoglandular fistula-in-ano. J Gastrointest Surg. 1997;1:487–491
  26. Jones IT, Fazio VW, Jagelman DG. The use of transanal rectal advancement flaps in the management of fistulas involving the anorectum. Dis Colon Rectum. 1987;30:919–923
  27. Mizrahi N, Wexner SD, Zmora O, et al. Endorectal advancement flap: Are there predictors of failure?. Dis Colon Rectum. 2002;45:1616–1621
  28. Andreani SM, Dang HH, Grondona P, et al. Rectovaginal fistula in Crohn's disease. Dis Colon Rectum. 2007;50:2215–2222
  29. Marchesa P, Hull TL, Fazio VW. Advancement sleeve flaps for treatment of severe perianal Crohn's disease. Br J Surg. 1998;85:1695–1698
  30. Johnson PM, O'Connor BI, Cohen Z, et al. Pouch-vaginal fistula after ileal pouch-anal anastomosis: Treatment and outcomes. Dis Colon Rectum. 2005;48:1249–1253
  31. Gustafsson UM, Graf W. Randomized clinical trial of local gentamicin-collagen treatment in advancement flap repair for anal fistula. Br J Surg. 2006;93:1202–1207
  32. Ellis CN, Clark S. Fibrin glue as an adjunct to flap repair of anal fistulas: A randomized, controlled study. Dis Colon Rectum. 2006;49:1736–1740
  33. Eisenstat TE, Penzer J. Anal stenosis. In: Current Therapy in Colon and Rectal Surgery. (ed 2). Philadelphia, PA: Elsevier, Mosby; 2005;p. 55–59

 Dr Joyce has received a traveling Fellowship from the Royal College of Surgeons, Ireland to attend the Advanced Colorectal Fellowship at The Cleveland Clinic.

PII: S1043-1489(08)00067-5

doi: 10.1053/j.scrs.2008.10.005

Seminars in Colon & Rectal Surgery
Volume 20, Issue 1 , Pages 24-31 , March 2009

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