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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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Colorectal & Anal Surgery
2022-02-01
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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=461&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC1%E6%9C%9F |
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| author | Chen Fujun Liu Changping Li Shan Cheng Yingjie Zan Chaoyuan Li Gang Li Chengshu Luo Chuanyun He Ping |
| author_facet | Chen Fujun Liu Changping Li Shan Cheng Yingjie Zan Chaoyuan Li Gang Li Chengshu Luo Chuanyun He Ping |
| author_sort | Chen Fujun |
| collection | DOAJ |
| description | [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. |
| format | Article |
| id | doaj-art-9ad42312f12349c98cada5d19b75bbc7 |
| institution | DOAJ |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2022-02-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-9ad42312f12349c98cada5d19b75bbc72025-08-20T03:10:09ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912022-02-01281596310.19668/j.cnki.issn1674-0491.2022.01.013Fistula-in-ano conversion combined with cutting seton for simple transsphincteric fistula-in-anoChen Fujun0Liu Changping1Li Shan2Cheng Yingjie3Zan Chaoyuan4Li Gang5Li Chengshu6Luo Chuanyun7He Ping8Department of Coloproctology, The First People’s Hospital of Longquanyi District, Chengdu 610100, Sichuan, ChinaDepartment of Coloproctology, Hospital of Chengdu University of TCM, Chengdu 610075, Sichuan, ChinaDepartment of Coloproctology, The First People’s Hospital of Longquanyi District, Chengdu 610100, Sichuan, ChinaDepartment of Coloproctology, The First People’s Hospital of Longquanyi District, Chengdu 610100, Sichuan, ChinaDepartment of Coloproctology, The First People’s Hospital of Longquanyi District, Chengdu 610100, Sichuan, ChinaDepartment of Coloproctology, The First People’s Hospital of Longquanyi District, Chengdu 610100, Sichuan, ChinaDepartment of Coloproctology, The First People’s Hospital of Longquanyi District, Chengdu 610100, Sichuan, ChinaDepartment of Coloproctology, The First People’s Hospital of Longquanyi District, Chengdu 610100, Sichuan, ChinaDivison Ⅰ of Department of Coloproctology, Chengdu Rectal Hospital, Chengdu 610000, Sichuan, China[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.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%9Fsimple transsphincteric fistula-in-anofistula-in-ano conversion combined with cutting setonincisionsetonand drainage |
| spellingShingle | Chen Fujun Liu Changping Li Shan Cheng Yingjie Zan Chaoyuan Li Gang Li Chengshu Luo Chuanyun He Ping Fistula-in-ano conversion combined with cutting seton for simple transsphincteric fistula-in-ano 结直肠肛门外科 simple transsphincteric fistula-in-ano fistula-in-ano conversion combined with cutting seton incision seton and drainage |
| title | Fistula-in-ano conversion combined with cutting seton for simple transsphincteric fistula-in-ano |
| title_full | Fistula-in-ano conversion combined with cutting seton for simple transsphincteric fistula-in-ano |
| title_fullStr | Fistula-in-ano conversion combined with cutting seton for simple transsphincteric fistula-in-ano |
| title_full_unstemmed | Fistula-in-ano conversion combined with cutting seton for simple transsphincteric fistula-in-ano |
| title_short | Fistula-in-ano conversion combined with cutting seton for simple transsphincteric fistula-in-ano |
| title_sort | fistula in ano conversion combined with cutting seton for simple transsphincteric fistula in ano |
| topic | simple transsphincteric fistula-in-ano fistula-in-ano conversion combined with cutting seton incision seton and drainage |
| url | 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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