The Use of Platelet-Rich Fibrin Plugs in the Treatment of Perianal Fistula: Traditional Curettage vs. Debridement with a Graduated Set of Cylindrical Curettes
International Journal of Surgery Research & Practice
Citation: Lara FJP, González JMH, Berges AF, de los Reyes HO, Muñoz HO (2018) The Use of Platelet-Rich Fibrin Plugs in the Treatment of Perianal Fistula: Traditional Curettage vs. Debridement with a Graduated Set of Cylindrical Curettes. Int J Surg Res Pract 5:081. Abstract Introduction: The treatment of perianal fistulas currently presents a major challenge to colorectal surgeons. In the present study, we consider how the type of curettage performed may influence the outcome, with respect to
... aling the perianal fistula. Methods: We present a retrospective study of 65 patients operated on for perianal fistula, sealed with platelet-rich fibrin (PRF). The patients were divided into two groups. Prior to PRF application, the patients in Group A underwent curettage by traditional methods. For those in group B, the curettage was performed using a graduated set of cylindrical curettes. Results: The groups were homogeneous in terms of sex, ASA classification, type of fistula, morbidity and postoperative incontinence. The only important difference recorded was in the rate of closure, which ranged from 52.9% with the use of traditional curettes to 80.6% with the set of cylindrical curettes (p = 0.03). Conclusions: The results obtained lead us to believe that, for patients with perianal fistula, using a graduated set of cylindrical curettes to debride the tract obtains better results than conservative treatment, with no ill effects on postoperative sphincter continence.