Observation on the clinical effectiveness of intermuscular suture combined with fullthickness advancement flap in the treatment of suprasphincteric anal fistula: a series of 33 cases
[Objectives] To investigate the clinical effectiveness of intermuscular suture combined with full-thickness advancement flap in the treatment of suprasphincteric anal fistula. [Methods] A retrospective analysis was conducted on the clinical data of 33 patients with suprasphincteric anal fistula who...
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| Language: | zho |
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Editorial Office of Journal of Colorectal & Anal Surgery
2024-04-01
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| Series: | 结直肠肛门外科 |
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| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=146&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F |
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| author | Yang Xiaoyuan Chen Wenping Lin Wanlin Ma Qiaoling Zhang Lei Zhu Jiandong Zhao Shen Yang Limin Ma Zhiteng Huang Shaoling Yuan Yuewen |
| author_facet | Yang Xiaoyuan Chen Wenping Lin Wanlin Ma Qiaoling Zhang Lei Zhu Jiandong Zhao Shen Yang Limin Ma Zhiteng Huang Shaoling Yuan Yuewen |
| author_sort | Yang Xiaoyuan |
| collection | DOAJ |
| description | [Objectives] To investigate the clinical effectiveness of intermuscular suture combined with full-thickness advancement flap in the treatment of suprasphincteric anal fistula. [Methods] A retrospective analysis was conducted on the clinical data of 33 patients with suprasphincteric anal fistula who underwent intermuscular suture combined with fullthickness advancement flap in our department from September 2020 to June 2023. The treatment outcomes (cure or treatment failure), disease-related information, anal function, and patient’s satisfaction with surgical treatment were recorded. [Results] All 33 patients successfully completed the surgery. Postoperative follow-up ranged from 90 to 1, 095 days, with a median follow-up time of 210 (90, 840) days. A total of 29 patients achieved cure, while 4 patients had treatment failure. There were no significant differences in the history of abscess/anal fistula surgery, the presence of horseshoe anal fistula, the presence of fistula branches, or the presence of abscess between the cured patients and those with treatment failure (P>0.05). The median preoperative Wexner incontinence score was 0 (0, 2) for all 33 patients, which was significantly different from the corresponding score of 0 (0, 4) at 3 months postoperatively (P<0.05). At the 3-month postoperative follow-up, 31 patients expressed satisfaction with the surgical outcome, while 2 patients expressed dissatisfaction. [Conclusion] The short-term clinical effectiveness of intermuscular suture combined with fullthickness advancement flap in the treatment of suprasphincteric anal fistula is good. |
| format | Article |
| id | doaj-art-72694ca3a09b40e587540ce9ec581c95 |
| institution | OA Journals |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2024-04-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-72694ca3a09b40e587540ce9ec581c952025-08-20T01:50:59ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912024-04-0130220220710.19668/j.cnki.issn1674-0491.2024.02.013Observation on the clinical effectiveness of intermuscular suture combined with fullthickness advancement flap in the treatment of suprasphincteric anal fistula: a series of 33 casesYang Xiaoyuan0Chen Wenping1Lin Wanlin2Ma Qiaoling3Zhang Lei4Zhu Jiandong5Zhao Shen6Yang Limin7Ma Zhiteng8Huang Shaoling9Yuan Yuewen10Department of Anorectal and Pelvic Floor Surgery, Xi’an Daxing Hospital, Xi’an 710016, Shaanxi, ChinaDepartment of Anorectal and Pelvic Floor Surgery, Xi’an Daxing Hospital, Xi’an 710016, Shaanxi, ChinaDepartment of Anorectal and Pelvic Floor Surgery, Xi’an Daxing Hospital, Xi’an 710016, Shaanxi, ChinaDepartment of Anorectal and Pelvic Floor Surgery, Xi’an Daxing Hospital, Xi’an 710016, Shaanxi, ChinaDepartment of Anorectal and Pelvic Floor Surgery, Xi’an Daxing Hospital, Xi’an 710016, Shaanxi, ChinaDepartment of Anorectal and Pelvic Floor Surgery, Xi’an Daxing Hospital, Xi’an 710016, Shaanxi, ChinaDepartment of Anorectal and Pelvic Floor Surgery, Xi’an Daxing Hospital, Xi’an 710016, Shaanxi, ChinaDepartment of Anorectal and Pelvic Floor Surgery, Xi’an Daxing Hospital, Xi’an 710016, Shaanxi, ChinaDepartment of Anorectal and Pelvic Floor Surgery, Xi’an Daxing Hospital, Xi’an 710016, Shaanxi, ChinaDepartment of Anorectal and Pelvic Floor Surgery, Xi’an Daxing Hospital, Xi’an 710016, Shaanxi, ChinaDepartment of Anorectal and Pelvic Floor Surgery, Xi’an Daxing Hospital, Xi’an 710016, Shaanxi, China[Objectives] To investigate the clinical effectiveness of intermuscular suture combined with full-thickness advancement flap in the treatment of suprasphincteric anal fistula. [Methods] A retrospective analysis was conducted on the clinical data of 33 patients with suprasphincteric anal fistula who underwent intermuscular suture combined with fullthickness advancement flap in our department from September 2020 to June 2023. The treatment outcomes (cure or treatment failure), disease-related information, anal function, and patient’s satisfaction with surgical treatment were recorded. [Results] All 33 patients successfully completed the surgery. Postoperative follow-up ranged from 90 to 1, 095 days, with a median follow-up time of 210 (90, 840) days. A total of 29 patients achieved cure, while 4 patients had treatment failure. There were no significant differences in the history of abscess/anal fistula surgery, the presence of horseshoe anal fistula, the presence of fistula branches, or the presence of abscess between the cured patients and those with treatment failure (P>0.05). The median preoperative Wexner incontinence score was 0 (0, 2) for all 33 patients, which was significantly different from the corresponding score of 0 (0, 4) at 3 months postoperatively (P<0.05). At the 3-month postoperative follow-up, 31 patients expressed satisfaction with the surgical outcome, while 2 patients expressed dissatisfaction. [Conclusion] The short-term clinical effectiveness of intermuscular suture combined with fullthickness advancement flap in the treatment of suprasphincteric anal fistula is good.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=146&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC2%E6%9C%9Fsuprasphincteric anal fistulasphincter-sparing surgeryadvancement flapexternal anal sphincter complex |
| spellingShingle | Yang Xiaoyuan Chen Wenping Lin Wanlin Ma Qiaoling Zhang Lei Zhu Jiandong Zhao Shen Yang Limin Ma Zhiteng Huang Shaoling Yuan Yuewen Observation on the clinical effectiveness of intermuscular suture combined with fullthickness advancement flap in the treatment of suprasphincteric anal fistula: a series of 33 cases 结直肠肛门外科 suprasphincteric anal fistula sphincter-sparing surgery advancement flap external anal sphincter complex |
| title | Observation on the clinical effectiveness of intermuscular suture combined with fullthickness advancement flap in the treatment of suprasphincteric anal fistula: a series of 33 cases |
| title_full | Observation on the clinical effectiveness of intermuscular suture combined with fullthickness advancement flap in the treatment of suprasphincteric anal fistula: a series of 33 cases |
| title_fullStr | Observation on the clinical effectiveness of intermuscular suture combined with fullthickness advancement flap in the treatment of suprasphincteric anal fistula: a series of 33 cases |
| title_full_unstemmed | Observation on the clinical effectiveness of intermuscular suture combined with fullthickness advancement flap in the treatment of suprasphincteric anal fistula: a series of 33 cases |
| title_short | Observation on the clinical effectiveness of intermuscular suture combined with fullthickness advancement flap in the treatment of suprasphincteric anal fistula: a series of 33 cases |
| title_sort | observation on the clinical effectiveness of intermuscular suture combined with fullthickness advancement flap in the treatment of suprasphincteric anal fistula a series of 33 cases |
| topic | suprasphincteric anal fistula sphincter-sparing surgery advancement flap external anal sphincter complex |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=146&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F |
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