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Is fistulotomy with immediate sphincter reconstruction (FISR) a sphincter preserving procedure for high anal fistula? A systematic review and meta-analysis.

Nusrat IqbalStella Maye DilkeJeroen GeldofKapil SahnanSamuel AdegbolaPaul BassettPhillip Tozer
Published in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2021)
The evidence suggests FISR is a safe, effective procedure. However, data are limited by inconsistencies in reporting of continence and definition of fistula height, particularly high anal fistulae. Significant heterogeneity means that outcomes in high fistulae remain uncertain.
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