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10.1055/s-0036-1580631 http://scihub22266oqcxt.onion/10.1055/s-0036-1580631 C4882183!4882183!27247533     free     free     free       Clin+Colon+Rectal+Surg 2016 ; 29 (2): 92-100 Nephropedia Template TP {{tp|p=27247533|t=2016. Management of Complex Perineal Fistula Disease |pdf=|usr=}}{{27247533}} gab.com Text Management of Complex Perineal Fistula Disease JO: Clin Colon Rectal Surg http://www.kidney.de/pget.php?&tw=1&pmid=27247533 #FOAvip Management of complex perineal fistulas such as high perianal, rectovaginal, pouch-vaginal, rectourethral, or pouch-urethral fistulas requires a systematic approach. The first step is to control any sepsis with drainage of abscess and/or seton placement. Patients with large, recurrent, irradiated fistulas benefit from stoma diversion. In patients with Crohn's disease, it is essential to induce remission prior to any repair. There are different approaches to repair complex fistulas, from local repairs to transperineal and transabdominal approaches. Simpler fistulas are amenable to local repair. More complex fistulas, such as those secondary to irradiation, require interposition of healthy, well-vascularized tissue. The most common flap used for this treatment is the gracilis muscle with good outcomes reported. Once healing is confirmed by imaging and endoscopy, the stoma is reversed. Twit Text FOAVip Management of Complex Perineal Fistula Disease ????Clin Colon Rectal Surg http://www.kidney.de/pget.php?&tw=1&pmid=27247533 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27247533 #FOAvip English Wikipedia <ref>{{Cite pmid|27247533}}</ref> Management of Complex Perineal Fistula Disease #MMPMID27247533 Akiba RT; Rodrigues FG; da Silva G Clin Colon Rectal Surg 2016[Jun]; 29 (2): 92-100 PMID27247533show ga Management of complex perineal fistulas such as high perianal, rectovaginal, pouch-vaginal, rectourethral, or pouch-urethral fistulas requires a systematic approach. The first step is to control any sepsis with drainage of abscess and/or seton placement. Patients with large, recurrent, irradiated fistulas benefit from stoma diversion. In patients with Crohn's disease, it is essential to induce remission prior to any repair. There are different approaches to repair complex fistulas, from local repairs to transperineal and transabdominal approaches. Simpler fistulas are amenable to local repair. More complex fistulas, such as those secondary to irradiation, require interposition of healthy, well-vascularized tissue. The most common flap used for this treatment is the gracilis muscle with good outcomes reported. Once healing is confirmed by imaging and endoscopy, the stoma is reversed. äManagement of Complex Perineal Fistula Disease (epmc).pdf DeepDyve Pubget Overpricing