Aim: This technical note describes the use of an endostapler for the definitive treatment of supralevator abscess upward from an intersphincteric origin.
Method: A two-stage treatment was performed. First an endoanal drainage was performed by inserting a mushroom catheter in the supralevator abscess cavity. In the second stage transanal unroofing of the fistula was performed with an endostapler.
Results: Since 2011, three patients have been treated in this way. After 2 years of follow up, none of the patients had recurrence of the abscess or been referred for anal incontinence.
Conclusion: The use of an endostapler in the treatment of supralevator abscess of intersphincteric origin may be an alternative to decrease the risk of recurrence and incontinence.
Keywords: Anal abscess; Crohn's disease; endostapler; supralevator abscess.
Colorectal Disease © 2014 The Association of Coloproctology of Great Britain and Ireland.