Annals of Colorectal Research

Brief Report

22/8/2016

Method for Management of Perianal Fistula with New Device: Progressive Curettage of the Tract and Sealing with Platelet-Rich Fibrin

Francisco Javier Perez Lara, Arminda Ferrer Berges, Jose Manuel Hernandez Gonzalez, Elena Sanchis Cardenas, Arturo del Rey Moreno, Horacio Oliva Munoz

Surgical treatment of high perianal fistulas, which affect a significant proportion of the sphincter apparatus, is difficult and associated with considerable risk of impaired anal continence. The diversity of approaches proposed for the treatment of complex perianal fistulas reflects the fact that no method has yet been shown to be fully satisfactory. We believe the successful treatment of this condition is directly proportional to the amount of fibrous tissue that can be removed. We used a kit of small curettes, of different thicknesses and sizes, incorporating spicules that enable the physician to remove fibrous tissue from the fistula tract. The small size and varying thicknesses of the curettes enable them to mold to the curves of the fistula tract and to remove tissue by de-roofing from the shallowest to the deepest layers, thus excising the entire fibrous tract. The tract is then sealed using autologous fibrin, applied through a catheter, with the help of a monitor indicating the amount of product remaining at all times. Finally, the internal orifice is closed by simple suturing.

Research Article

6/8/2016

Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients

Alexandre Brind'Amour, Francois Letarte, Alexandre Bouchard, Sebastien Drolet

Review Article

24/8/2016

The Correlation Between Single Nucleotide Polymorphism Patterns and Colorectal Cancer in the Iranian Population

Mozhdeh Zamani, Seyed Vahid Hosseini, Pooneh Mokarram

Research Article

7/9/2016

Use of CT Imaging in Acute Diverticulitis

Anton Mare, Neil Jones

Case Report

22/8/2016

Giant Condyloma Acuminatum: A Surgical Riddle

Ankit Shukla, Ramesh Bharti, Amar Verma, Rajesh Chaudhry, Rakesh B Anand

Giant condyloma acuminatum (GCA) commonly known as Buschke-Lowenstein tumor (BLT) is a rare sexually transmitted disease, which is always preceded by condyloma accuminata and linked to human papillomavirus (HPV). Most commonly affected sites are male and female genitalia, anal and perianal regions. Giant condyloma acuminatum is well-known as slow growing but locally destructive with a high rate of recurrence and increased frequency of malignant transformation. Surgical management is considered to be the best among all the options.

Annals of Colorectal Research: Sep 2016, 4 (3), 5 articles.