Prosst Ruediger L, Ehni Wolfgang
Proctological Institute Stuttgart, Stuttgart, Germany.
Minim Invasive Ther Allied Technol. 2012 Jul;21(4):307-12. doi: 10.3109/13645706.2012.692690. Epub 2012 Jun 4.
Abstract Surgical treatment of high or complex anal fistulas often renders unsatisfying results. This is the report of the first successful closure of such anal fistula using a special Nitinol clip and applicator, the OTSC® Proctology system (Ovesco AG, Tuebingen, Germany): A 54-year old female patient was suffering from a high transsphincteric anal fistula. After seton drainage of the fistula for ten weeks, the fistula track was debrided using a special fistula brush. After transanal clip release from the applicator, the internal fistula opening was adequately closed by the clip. Eight months after clip closure the fistula had healed and the clip was removed using the OTSC® Proctology Clip Cutter. Fistula closure using the OTSC® Proctology system represents a promising sphincter-preserving minimally invasive procedure.
摘要 高位或复杂性肛瘘的手术治疗效果往往不尽人意。本文报道首例使用特殊的镍钛合金夹及放置器（OTSC®直肠学系统，德国图宾根市奥维斯可公司）成功闭合此类肛瘘的病例：一名54岁女性患者患有高位经括约肌肛瘘。瘘管挂线引流10周后，使用特殊的瘘管刷清理瘘管通道。经肛门从放置器释放夹子后，瘘管内口被夹子充分闭合。夹子闭合8个月后，肛瘘愈合，使用OTSC®直肠学夹钳移除夹子。使用OTSC®直肠学系统闭合肛瘘是一种有前景的保留括约肌的微创手术。
