الفهرس 
ntroductionOnly 14 pages are availabe for public view
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Abstract
The aim of this study is to report a simple, effective and safe procedure, associated with minimal risk of incontinence and recurrence, for treating anal fistulas. The most appropriate management of anorectal sepsis is to eradicate the tract and drain the sepsis while preserving fecal continence. Multiple techniques have been used, including fistulotomy and fistulectomy, various types of flaps, instillation of fibrin sealant or stem cells and plug positioning. This high number of available methods due to the lack of universal success of any single treatment or any combination of treatments. The technique used included excision of the distal part of the fistula tract down to the external anal sphincter and electro-cauterization of the intersphincteric part of the tract with simple closure of the internal opening . Data collected included patient characteristics, fistula type determined by magnetic resonance imaging , pre- and postoperative continence status evaluated using the Wexner incontinence score (0-10), previous operations, hospital stay, healing time, recurrence rate and complications.