* 76 percent of treated
external fistula openings showed complete re-epithelializa on or an absence of drainage at week 48
* 76 percent of treated
external fistula openings showed complete re-epithelialization or an absence of drainage at week 48
A total of 76% of treated
external fistula openings showed complete re-epithelialization or an absence of drainage at week 48 with greater than 50% decrease in mean Perianal Crohn's Disease Activity Index, or PDAI, at 48 weeks.
The FiLaC[TM] approach was designed to simultaneously eliminate both the anal gland/crypt and the epithelial layer of the fistula via photothermal effect, while also closing both the internal and
external fistula openings.
Daily the
external fistula opening was flushed with Povidone iodine mixed normal saline daily till closure.
Those who presented late were females with an
external fistula that was mistaken for a normal anus.
If a drain is in the subhepatic space, an
external fistula develops.
The excess tract was excised and the cut end was sutured with the anal canal mucosa, thus converting an
external fistula into an internal one, where the secretions from it can be retained by the external anal sphincter, thus preventing constant soiling.
External fistula of the main parotid duct; the alternative procedure.
At examination under anaesthesia, 5 patients were found to have multiple
external fistula openings, and 2 had a single external opening.
Once perforated, it may drain into the peritoneal cavity, adjacent viscera or less commonly adhere to the abdominal wall to form an
external fistula.
Medical treatment is particularly suitable for
external fistulas. Some immunosuppressive agents and anti-TNF-[alpha] therapy are commonly used in treatment.