This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We read with interest the article by Park et al¹ about the use of fibrin sealant in the treatment of anorectal fistulae. We began to treat abscess fistulas with autologous fibrin glue in 1997. All fistulae treated (30 patients) sealed immediately after treatment, but 17 recurred. Recurrent fistulae, treated again by fibrin glue, healed in 4 cases and recurred in 13. The overall success rate, measured by fistula closure, was 56%; this was considered unsatisfactory by the scientific and ethical committee at our institution, and the trial was stopped. When analyzing our results, we came to the conclusion that inadequate removal of the infective source of the fistula could be the cause of our failure. Most fistulae derive from sepses originating in the glands of the anus at the dentate line, and the failure of traditional surgical treatment worldwide is related to residual infection.² According to the criteria of Parks . . . [Full Text of this Article]