[Anal fistula: value of the fistulectomy technic combined with endoanal suture using chromium catgut. Reflections apropos of 25 cases]. / Fistules anales: intérêts de la technique de la fistulectomie associée à la suture endo-anale au catgut chromé. Réflexions sur 25 cas.

Results of treatment of 25 cases of anal fistula demonstrate that these lesions can be treated by combined fistulectomy and endoanal suture whatever their anatomic type, if the technique is carried out patiently and strictly. It ensures successful relief in 100% of cases of fistula treated by first intention. Satisfactory results were obtained after recovery surgery in 3 of 5 cases (60%) the 2 patients failing to respond having been treated by Arnous' method. Its advantage is total conservation of anal sphincter, avoiding postoperative sphincteric complications and other local sequelae.