[Surgical treatment of XXXX with open surgical technique].

@entity1 @entity2869
BACKGROUND: Personal experience and results about the surgical treatment of @entity2869 using the open technique operation are reported. METHODS: Between January 1984 and June 2001, 577 @entity1 (457 males and 120 females) underwent this surgical technique. Eighty-five @entity1 presented recurrences of the under-lying disease previously treated with closed technique in other centres. In order to reduce the risks of recurrence, @entity2869 was widely resected in order to remove every fistulous track laterally or towards the anal edge. The surgical wound has to be wide, carefully drained, without vertical walls: the outer part of the wound should be wider than its bottom. The persistence of a hairless scar is a suitable result to avoid relapses. RESULTS: This surgical technique allowed very good RESULTS: Postsurgical morbidity was not observed in these @entity1 ; the median time to achieve healing was 8+/-2 weeks. Furthermore, after a 3 year follow-up, only 4 @entity1 (0.69%) relapsed. Recurrent dressings are needed; anyway they neither represent a limit of this technique nor lead to a long term absence from working. The postsurgical period of resting is quite similar to that usually prescribed after other surgical techniques and mainly depends on the @entity1 nature. The treatment with connective tissue repairing drugs may be useful to obtain an effective healing. CONCLUSIONS: In the authors' experience, the open surgical technique may obtain the definitive @entity2869 , even if particularly wide, with a safe postsurgical course and a very hight percentage (99.31%) of complete healing without any relapse.
