Gys Ben, De Hous Nicolas, Hubens Guy, De Win Gunter, Komen Niels
a Department of Abdominal Surgery, AZ Sint-Dimpna , Geel , Belgium.
b Department of Abdominal Surgery , University Hospital of Antwerp , Edegem , Belgium.
Acta Chir Belg. 2018 Dec;118(6):398-401. doi: 10.1080/00015458.2018.1515337. Epub 2018 Sep 12.
Fistula formation in hidradenitis suppurativa follows an uncontrolled infection with subcutaneous tracts leading to 'watering-can' or 'pus-pot' perineum. Closure of this type of fistula implies major surgery and is bound to fail in refractory inflammatory environment. Minimally invasive techniques have become the first line of choice in every type of surgery.
Fistula-tract Laser Closure (FiLaC™, Biolitec, Germany) is a novel technique already reported to have been used in the treatment of fistula-in-ano and pilonidal sinus. It consists of blind cauterization and obliteration of the fistula tract from the inside by means of a radial-emitting laser probe. We present two patients who underwent surgery for urethroperineal fistula using this technique.
In both cases, the fistula tracts were completely closed after 3 months of follow-up. The wounds had healed smoothly and complete resolution of symptoms was noted.
The use of FiLaC™ for the treatment of urethroperineal fistula is feasible and safe. The minimally invasive nature of the technique and limited postoperative pain permit daycare surgery.
化脓性汗腺炎中的瘘管形成是由皮下管道的失控感染引起的，可导致“洒水壶样”或“脓壶样”会阴。这种类型的瘘管闭合意味着大手术，并且在难治性炎症环境中必然会失败。微创技术已成为各类手术的首选。
瘘管激光闭合术（FiLaC™，德国Biolitec公司）是一种已报道用于治疗肛瘘和藏毛窦的新技术。它包括通过径向发射激光探头从内部对瘘管进行盲目烧灼和闭塞。我们介绍了两名使用该技术接受尿道会阴瘘手术的患者。
在这两个病例中，随访3个月后瘘管完全闭合。伤口愈合顺利，症状完全缓解。
使用FiLaC™治疗尿道会阴瘘是可行且安全的。该技术的微创性质和有限的术后疼痛允许进行日间手术。
