ArticleCureus2025
Sequential Surgical Management of a Recurrent Complex Transsphincteric Anal Fistula With Sphincter Disruption: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
High transsphincteric anal fistulas represent a significant therapeutic challenge due to the risk of fecal incontinence associated with division of the sphincter complex. Management must be individualized, particularly in recurrent cases. We report the case of a 55-year-old male with a recurrent high posterior transsphincteric anal fistula who had undergone multiple previous surgical interventions. Initial treatment with fistulectomies and cryptectomies resulted in disruption of both the internal and external anal sphincters, leading to severe fecal incontinence. Due to persistent fistulous drainage, the patient underwent diagnostic laparoscopy with creation of a protective loop ileostomy, irrigation and drainage of the tract, primary transanal closure of the internal opening, and application of fibrin sealant (Tisseel
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