Fistula-in-ano conversion combined with cutting seton for simple transsphincteric fistula-in-ano
[Objectives] To investigate the clinical effectiveness of fistula-in-ano conversion combined with cutting seton for simple transsphincteric fistula-in-ano. [Methods] This was a retrospective analysis of 60 patients with simple transsphincteric fistula-in-ano treated at the First People’s Hospital of...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2022-02-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=461&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC1%E6%9C%9F |
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| Summary: | [Objectives] To investigate the clinical effectiveness of fistula-in-ano conversion combined with cutting seton for simple transsphincteric fistula-in-ano. [Methods] This was a retrospective analysis of 60 patients with simple transsphincteric fistula-in-ano treated at the First People’s Hospital of Longquanyi District, Chengdu between January and October 2020. Patients were divided into the treatment group (n=30, receiving fistula-in-ano conversion combined with cutting seton) and the control group (n=30, receiving incision, seton, and drainage). The following data were compared between the two groups: effectiveness, operation time, postoperative hospitalization, time to wound healing, pain at 24 hours postoperative using the Numeric Rating Score, and anal function at 3 months postoperative using the Wexner anal incontinence score. [Results] The two groups were comparable concerning overall effectiveness, the cured rate, and the overall markedly effective rate (P>0.05). The operation time was significantly longer in the treatment group, while the time to wound healing was significantly shorter in the treatment group (P<0.05). Postoperative hospitalization was similar between the two groups (P>0.05). Pain score of the Numeric Rating Scale at 24 hours postoperative and the Wexner anal incontinence score at 3 months postoperative was significantly lower in the treatment group than in the control group (P<0.05). [Conclusion] Fistula-in-ano conversion combined with cutting seton is an effective procedure for simple transsphincteric fistula-in-ano. Compared with incision, seton, and drainage, it can shorten the time to wound healing, alleviate postoperative pain, and has less impact on anal function. |
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| ISSN: | 1674-0491 |