Application of Fibrin Glue in the Treatment of Rectal Fistula

Abstract

Aim: to summarize the literature data on the treatment of rectal fistula using fibrin glue.Key findings: The prevalence of rectal fistula is about 9 cases per 100,000 population. Patients with rectal fistulas are frequently represented by the able-bodied middle-aged population group. The disease is extremely rarely observed in children and elderly people. Thus, this problem has a socially significant character. Fistula elimination is possible only by surgery, which is accompanied by the risk of fistula recurrence and the development of postoperative incontinence. In this regard, low-invasive techniques for the treatment of rectal fistulas, such as the use of fibrin glue, are being actively investigated.Conclusion: The use of fibrin glue as a sphincter-preserving technique eliminates the development of postoperative anal failure, while new technologies and materials aim to reduce the risk of the disease recurrence.

Keywords

• chronic paraproctitis
• fistula
• anal sphincter insufficiency
• disease recurrence
• surgical treatment
• fibrin glue