Research Article
Volume 7 Issue 10 - 2020
Laser-based Management of Perianal Fistulae
VL Denisenko1,2*, KG Tsyplakov1, EV Denisenko2, V Ya Khmelnikov1, VK Smirnov1, Yu M Gain3 and SA Sushkov2
1Vitebsk Regional Clinical Specialized Centre, Vitebsk, Belarus
2Vitebsk State Medical University, Vitebsk, Belarus
3Belarusian Medical Academy of Postgraduate Education, Minsk, Belarus
*Corresponding Author: VL Denisenko, Vitebsk Regional Clinical Specialized Centre, Vitebsk, Belarus.
Received: April 13, 2020; Published: September 10, 2020




Abstract

Introduction: Successful results were obtained with regard to using laser-based techniques for managing perianal fistulae.

Study Aims: To evaluate the effectiveness of using laser-based techniques to treat perianal fistulae.

Materials and Methods: The study covered 11 patients with transsphincteric and perianal fistulae. The novel character of the method lies in the use of a laser-based technique to manage this abnormality. The surgical procedure was done under spinal anesthesia and involved fistula revision and lavage with Volkmann’s spoon. After the closure of the internal fistula opening, laser-based destruction of the fistula was performed through the distal end. For the first time, combined approach was utilized to treat patients with extrasphincteric perianal fistulae with purulent leakages. It involved revision, lavage of the fistula opening, closure and laser-based destruction of the internal fistula opening.

Study Results: The surgical procedure lasted 10 ± 4.1 minutes (M ± σ) on average. Laser-based destruction of perianal fistulae enabled to reduce the duration of the surgical procedure by 15 - 20 minutes on average and the hospital stay length by 4.8 ± 0.9 days on average. Narcotic anodynes were not used.

Conclusion: As a treatment method for perianal fistulae, laser-based destruction is one of the most promising. When it is used, patients experience less pain, faster health improvement, the surgical procedure and hospital stay duration reduces. Moreover, no complications are observed during the early postoperative period.

Keywords: Fistula; Perianal Fistula; Laser-Based Destruction

References

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Citation: VL Denisenko., et al. “Laser-based Management of Perianal Fistulae”. EC Gastroenterology and Digestive System 7.10 (2020): 01-06.

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