Clinical efficacy analysis of Transanal Opening of Inter-sphincteric Space (TROPIS) for high inter-sphincteric fistula-in-ano
[Objective] To analyze the clinical efficacy of the Transanal Opening of Inter-sphincteric Space (TROPIS) procedure for treating high inter-sphincteric fistula-in-ano. [Methods] A retrospective analysis was conducted on the clinical data of 28 patients with high inter-sphincteric fistula-in-ano who...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2022-10-01
|
| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=511&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849710278582730752 |
|---|---|
| author | Chen Xinqiu Ren Yueyi Li Yuying Sun Feng Zhao Yongchang Jin Xin |
| author_facet | Chen Xinqiu Ren Yueyi Li Yuying Sun Feng Zhao Yongchang Jin Xin |
| author_sort | Chen Xinqiu |
| collection | DOAJ |
| description | [Objective] To analyze the clinical efficacy of the Transanal Opening of Inter-sphincteric Space (TROPIS) procedure for treating high inter-sphincteric fistula-in-ano. [Methods] A retrospective analysis was conducted on the clinical data of 28 patients with high inter-sphincteric fistula-in-ano who underwent TROPIS at the First Affiliated Hospital of Guangzhou University of Chinese Medicine from September 2018 to July 2020. The anal function of patients before and after surgery was compared, postoperative complications were observed and recorded, and the clinical efficacy of the procedure was evaluated. [Results] A total of 28 patients were included in this study, all of whom were cured (100%). There were no recurrences during the 6-month follow-up period. There was no statistically significant difference in the Wexner incontinence score before surgery and 3 months after surgery (P>0.05). Two patients experienced wound bleeding on the first and third days postoperatively, which was controlled with tamponade using T-shaped gauze, with no significant bleeding afterward. No other complications were observed in the remaining patients. [Conclusion] TROPIS for the treatment of high inter-sphincteric fistula-in-ano has good clinical efficacy and minimal impact on anal function. |
| format | Article |
| id | doaj-art-546a4bb1ba7c4afc898ecbd7973244fa |
| institution | DOAJ |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2022-10-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-546a4bb1ba7c4afc898ecbd7973244fa2025-08-20T03:14:58ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912022-10-0128547948110.19668/j.cnki.issn1674-0491.2022.05.011Clinical efficacy analysis of Transanal Opening of Inter-sphincteric Space (TROPIS) for high inter-sphincteric fistula-in-anoChen Xinqiu0Ren Yueyi1Li Yuying2Sun Feng3Zhao Yongchang4Jin Xin5The First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, ChinaThe First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, ChinaThe First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, ChinaThe First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, ChinaThe First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, ChinaThe First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China[Objective] To analyze the clinical efficacy of the Transanal Opening of Inter-sphincteric Space (TROPIS) procedure for treating high inter-sphincteric fistula-in-ano. [Methods] A retrospective analysis was conducted on the clinical data of 28 patients with high inter-sphincteric fistula-in-ano who underwent TROPIS at the First Affiliated Hospital of Guangzhou University of Chinese Medicine from September 2018 to July 2020. The anal function of patients before and after surgery was compared, postoperative complications were observed and recorded, and the clinical efficacy of the procedure was evaluated. [Results] A total of 28 patients were included in this study, all of whom were cured (100%). There were no recurrences during the 6-month follow-up period. There was no statistically significant difference in the Wexner incontinence score before surgery and 3 months after surgery (P>0.05). Two patients experienced wound bleeding on the first and third days postoperatively, which was controlled with tamponade using T-shaped gauze, with no significant bleeding afterward. No other complications were observed in the remaining patients. [Conclusion] TROPIS for the treatment of high inter-sphincteric fistula-in-ano has good clinical efficacy and minimal impact on anal function.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=511&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9Fhigh inter-sphincteric fistula-in-anotransanal opening of inter-sphincteric spaceclinical efficacy |
| spellingShingle | Chen Xinqiu Ren Yueyi Li Yuying Sun Feng Zhao Yongchang Jin Xin Clinical efficacy analysis of Transanal Opening of Inter-sphincteric Space (TROPIS) for high inter-sphincteric fistula-in-ano 结直肠肛门外科 high inter-sphincteric fistula-in-ano transanal opening of inter-sphincteric space clinical efficacy |
| title | Clinical efficacy analysis of Transanal Opening of Inter-sphincteric Space (TROPIS) for high inter-sphincteric fistula-in-ano |
| title_full | Clinical efficacy analysis of Transanal Opening of Inter-sphincteric Space (TROPIS) for high inter-sphincteric fistula-in-ano |
| title_fullStr | Clinical efficacy analysis of Transanal Opening of Inter-sphincteric Space (TROPIS) for high inter-sphincteric fistula-in-ano |
| title_full_unstemmed | Clinical efficacy analysis of Transanal Opening of Inter-sphincteric Space (TROPIS) for high inter-sphincteric fistula-in-ano |
| title_short | Clinical efficacy analysis of Transanal Opening of Inter-sphincteric Space (TROPIS) for high inter-sphincteric fistula-in-ano |
| title_sort | clinical efficacy analysis of transanal opening of inter sphincteric space tropis for high inter sphincteric fistula in ano |
| topic | high inter-sphincteric fistula-in-ano transanal opening of inter-sphincteric space clinical efficacy |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=511&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F |
| work_keys_str_mv | AT chenxinqiu clinicalefficacyanalysisoftransanalopeningofintersphinctericspacetropisforhighintersphinctericfistulainano AT renyueyi clinicalefficacyanalysisoftransanalopeningofintersphinctericspacetropisforhighintersphinctericfistulainano AT liyuying clinicalefficacyanalysisoftransanalopeningofintersphinctericspacetropisforhighintersphinctericfistulainano AT sunfeng clinicalefficacyanalysisoftransanalopeningofintersphinctericspacetropisforhighintersphinctericfistulainano AT zhaoyongchang clinicalefficacyanalysisoftransanalopeningofintersphinctericspacetropisforhighintersphinctericfistulainano AT jinxin clinicalefficacyanalysisoftransanalopeningofintersphinctericspacetropisforhighintersphinctericfistulainano |