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Journals / Annals of Medical Research / 2020 / Cilt: 27 - Sayı: 8

An 8 Years' experience in surgical treatment of anal fistula

Selçuk GÜLMEZ
Pages
2031–2035
Publication Date
2022-10-12
DOI
—
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The significant risk factors for failure were BMI≥30 kg/m2 (p

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Objective & Hypothesis:Aim: To review our experience with patients who had been operated for perianal fistula based on cryptoglandular etiological basisand to reveal risk factors affecting postoperative results.Material and Methods: A total of 65 perianal fistula patients, who underwent surgical treatment, were screened for this retrospectivestudy.Results: The mean age was 45.4 ± 10.6 years, with a predominance rate of male patients.
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Key Findings & Data:The previous surgery rate for anal sepsiswas 44.6%.
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Conclusion & Impact:The significant risk factors for failure were BMI≥30 kg/m2 (p
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: To review our experience with patients who had been operated for perianal fistula based on cryptoglandular etiological basisand to reveal risk factors affecting postoperative results.Material and Methods: A total of 65 perianal fistula patients, who underwent surgical treatment, were screened for this retrospectivestudy.Results: The mean age was 45.4 ± 10.6 years, with a predominance rate of male patients. The previous surgery rate for anal sepsiswas 44.6%. The median (min-max) follow up time was 19 (15–103) weeks, and the duration of symptoms was 18 (6-250) weeks. Themost common fistula type was intersphincteric (36.9%), and fistulotomy was the most preferred surgery (50.8%). New postoperativeincontinence was found in 6 (8.2%) of patients, 5 (83.3%) of them had gas incontinence. The healing rate in the follow-up period wasunsatisfactory for 12 (18.5%) patients. The significant risk factors for failure were BMI≥30 kg/m2 (p

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Cite This Article

GÜLMEZ, S. (2022). An 8 Years' experience in surgical treatment of anal fistula. Annals of Medical Research, Cilt: 27 - Sayı: 8, 2031–2035. https://ajindex.com/articles/446128

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References (17)

  1. Tucker CC, Hellwing CA. Histopathology of anal glands. Surg Gynecol Obs 1933;58:145-9
  2. Beck DE. Incidence of Fistulas After Drainage of Acute Anorectal Abscesses. Dis Colon Rectum 1998;41:1361
  3. Sahnan K, Askari A, Adegbola SO, et al. Natural history of anorectal sepsis. Br J Surg. 2017;104:1857-65
  4. Hardin BF. Anal fistula. New York: Springer; 2014. p. 45–77 5. Ege B, Leventoglu S, Mentes BB, et al. Hybrid seton for the treatment of high anal fistulas: Results of 128 consecutive patients. Tech Coloproctol 2014;18:187- 93
  5. Sileri P, Franceschilli L, Angelucci GP, et al. Ligation of the intersphincteric fistula tract (LIFT) to treat anal fistula: Early results from a prospective observational study. Tech Coloproctol 2011;15:413-6
  6. Browder LK, Sweet S, Kaiser AM. Modified Hanley procedure for management of complex horseshoe fistulae. Tech Coloproctol 2009;13:301-6
  7. Tatli F, Ozgonul A, Ciftci R, et al. Single center experience in perianal fistula surgery. Ann Med Res 2018;25:640
  8. Abbas MA, Jackson CH, Haigh PI. Predictors of outcome for anal fistula surgery. Arch Surg 2011;146:1011-6
  9. Rosa G, Lolli P, Piccinelli D, ve ark. Fistula-in-ano: anatomoclinical aspects, surgical therapy and results in 844 patients. Tech Coloproctol 2006;10:215-21
  10. Pescatori M, Ayabaca SM, Cafaro D, et al. Marsupialization of fistulotomy and fistulectomy wounds improves healing and decreases bleeding: a randomized controlled trial. Colorectal Dis 2006;8:11- 4
  11. Mitalas LE, Onkelen RS Van, Monkhorst K, et al. Identification of epithelialization in high transsphincteric fistulas. Tech Coloproctol 2012;16:113-7
  12. Leventoglu S, Ege B, Mentes BB, et al. Treatment for horseshoe fistula with the modified Hanley procedure using a hybrid seton: Results of 21 cases. Tech Coloproctol 2013;17:411-7
  13. Tan KK, Alsuwaigh R, Tan AM, et al. To LIFT or to flap? Which surgery to perform following seton insertion for high anal fistula?. Dis Colon Rectum. 2012;55:1273-7
  14. Kılıç A, Tilev SM, Başak F, et al. Rectal flap experience in high transsphincteric cryptoglandular anal fistula. J Surg Med 2019;3:746-8
  15. Bakhtawar N, Usman M. Factors Increasing the Risk of Recurrence in Factors increasing the risk of recurrence in anal fistulae 2019;11:e4200
  16. Schwandner O. Obesity is a negative predictor of success after surgery for complex anal fistula. BMC Gastroenterol 2011;11:61
  17. Zimmerman DDE, Briel JW, Gosselink MP, et al. Transanal advancement flap repair of