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This operation in 13 patients (eight trans-sphincteric, five suprasphincteric tracks) has resulted in complete success in seven, partial success (ultimate sacrifice of the internal anal sphincter) in two and failure in four. When the operation is successful continence is better than after failed procedures.<\/jats:p>","DOI":"10.1002\/bjs.1800800651","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T18:57:42Z","timestamp":1172948262000},"page":"802-804","source":"Crossref","is-referenced-by-count":73,"title":["Total sphincter conservation in high fistula <i>in ano<\/i>: Results of a new approach"],"prefix":"10.1093","volume":"80","author":[{"given":"D","family":"Matos","sequence":"first","affiliation":[{"name":"Department of Surgery, St Mark's Hospital , City Road, London EC1V 2PS,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P J","family":"Lunniss","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Mark's Hospital , City Road, London EC1V 2PS,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R K S","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Mark's Hospital , City Road, London EC1V 2PS,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1993,6,1]]},"reference":[{"key":"2024092812405680500_bib1","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1002\/bjs.1800790304","article-title":"Anal fistula","volume":"79","author":"Seow-Choen","year":"1992","journal-title":"Br J Surg"},{"key":"2024092812405680500_bib2","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1136\/bmj.1.5224.463","article-title":"Pathogenesis and treatment of fistula-in-ano","volume":"i","author":"Parks","year":"1961","journal-title":"BMJ"},{"key":"2024092812405680500_bib3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/bjs.1800630102","article-title":"A classification of fistula in-ano","volume":"63","author":"Parks","year":"1976","journal-title":"Br J Surg"},{"key":"2024092812405680500_bib4","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1136\/bmj.2.5318.1500","article-title":"Results of internal sphincterotomy for anal fissure","volume":"ii","author":"Bennett","year":"1962","journal-title":"BMJ"},{"key":"2024092812405680500_bib5","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1002\/bjs.1800510514","article-title":"The functional importance of the internal anal sphincter","volume":"51","author":"Bennett","year":"1964","journal-title":"Br J Surg"},{"key":"2024092812405680500_bib6","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/BF02617077","article-title":"Pressure and sensation in the anal canal after minor anorectal procedures","volume":"8","author":"Bennett","year":"1965","journal-title":"Dis Colon Rectum"},{"key":"2024092812405680500_bib7","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1007\/BF02560157","article-title":"Fistula. in-ano: a manometric study","volume":"26","author":"Belliveau","year":"1983","journal-title":"Dis Colon Rectum"},{"key":"2024092812405680500_bib8","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1007\/BF02552612","article-title":"Anal sensation and the continence mechanism","volume":"31","author":"Miller","year":"1988","journal-title":"Dis Colon Rectum"},{"key":"2024092812405680500_bib9","first-page":"177","article-title":"Multicentric randomized controlled clinical trial of kshaarasootra (ayurvedic medicated thread) in the management of fistula-in-ano","volume":"94","author":"Shukla","year":"1991","journal-title":"Indian J Med Res"},{"key":"2024092812405680500_bib10","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1177\/004947558601600118","article-title":"Ayurvedic treatment for fistula-in-ano","volume":"16","author":"Wollfers","year":"1986","journal-title":"Trop Doct"},{"key":"2024092812405680500_bib11","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1007\/BF01644991","article-title":"Can the external sphincter be preserved in the treatment of trans-sphincteric fistula-in-ano?","volume":"4","author":"Thomson","year":"1989","journal-title":"Int J Coloreotal Dis"},{"key":"2024092812405680500_bib12","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1007\/BF02555347","article-title":"Management of anorectal horseshoe abscess and fistula","volume":"29","author":"Held","year":"1986","journal-title":"Dis Colon Rectum"},{"key":"2024092812405680500_bib13","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1111\/j.1445-2197.1985.tb00849.x","article-title":"Fistula. in-ano: treatment by fistulectomy, primary closure and reconstitution","volume":"55","author":"Parkash","year":"1985","journal-title":"Aust NZJ Surg"},{"key":"2024092812405680500_bib14","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1007\/BF02554093","article-title":"Mucosal advancement in the treatment of fistula-in-ano","volume":"28","author":"Aguilar","year":"1985","journal-title":"Dis Colon Rectum"},{"key":"2024092812405680500_bib15","first-page":"53","article-title":"Fistula-in-ano. 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