首页> 外文期刊>Techniques in coloproctology >Functional importance of the internal anal sphincter in fistula surgery: correspondence for the original article entitled 'For many high anal fistulas, lay open is still a good option' by GK Atkin, J Martins, P Tozer, P Ranchod, RKS Phillips (2011) Tech Coloproctol 15:143-150.
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Functional importance of the internal anal sphincter in fistula surgery: correspondence for the original article entitled 'For many high anal fistulas, lay open is still a good option' by GK Atkin, J Martins, P Tozer, P Ranchod, RKS Phillips (2011) Tech Coloproctol 15:143-150.

机译:内肛门括约肌在瘘管手术中的功能重要性:GK Atkin,J Martins,P Tozer,P Ranchod,RKS Phillips(2011)撰写的标题为“对于许多高位肛瘘,张开仍然是一个不错的选择”的来稿Tech Coloproctol 15:143-150。

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Sir, I congratulate Atkin and colleagues for their recent retrospective review of anal fistulotomy in high fistulas [1]. It proves the inestimable value of standardized surgery and regulated axial and coronal operative records using images as part of reporting. Their work provides convincing evidence that judicious external anal sphincter (EAS) division has a limited impact on continence but to prove their point that division of the healthy internal anal sphincter (IAS) below the fistula site is harmful, we need randomized longer-term outcome trials of LAS-preserving techniques like the ligation of the intersphincteric fistula tract (LIFT) procedure. We know that rectoanal inhibition (an IAS function) is differentially affected with a more rapid wave of recovery following balloon distension in incontinent patients with known EAS atrophy or defects when compared with healthy volunteers [2]. This is one defense mechanism against incontinence.
机译:主席先生,我祝贺阿特金和他的同事最近对高位瘘管肛管切开术进行了回顾性回顾[1]。它使用图像作为报告的一部分,证明了标准化手术以及规范的轴向和冠状手术记录的不可估量的价值。他们的工作提供了令人信服的证据,表明明智的外部肛门括约肌(EAS)分割对尿失禁的影响有限,但要证明他们的观点,即在瘘管部位以下分割健康的内部肛门括约肌(IAS)是有害的,我们需要长期的随机分组LAS保留技术的试验,例如括约肌间瘘管结扎术(LIFT)。我们知道,与健康志愿者相比,在患有已知EAS萎缩或缺陷的失禁患者中,球囊扩张后,直肠肛门抑制(IAS功能)受球囊扩张后恢复波更快的影响[2]。这是一种针对失禁的防御机制。

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