Advance of transanal opening of intersphincteric space in the treatment of complex anal fistula

Patients with complex anal fistula experience recurrent perianal ulceration and infection, which seriously affects their quality of life. Due to the difficulty of treatment, surgeons need to weigh how to improve the success rate of surgery while reducing the risk of postoperative fecal incontinence....

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Main Authors: Chen Zeyang, Cai Mingzhu, Bai Zhaofu, Pan Shaorong, Li Yalun, Wang Pengyuan, Fang Jingjing, Sun Guidong, Shao Wanjin
Format: Article
Language:zho
Published: Editorial Office of Journal of Colorectal & Anal Surgery 2024-04-01
Series:结直肠肛门外科
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Online Access:https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=156&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F
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author Chen Zeyang
Cai Mingzhu
Bai Zhaofu
Pan Shaorong
Li Yalun
Wang Pengyuan
Fang Jingjing
Sun Guidong
Shao Wanjin
author_facet Chen Zeyang
Cai Mingzhu
Bai Zhaofu
Pan Shaorong
Li Yalun
Wang Pengyuan
Fang Jingjing
Sun Guidong
Shao Wanjin
author_sort Chen Zeyang
collection DOAJ
description Patients with complex anal fistula experience recurrent perianal ulceration and infection, which seriously affects their quality of life. Due to the difficulty of treatment, surgeons need to weigh how to improve the success rate of surgery while reducing the risk of postoperative fecal incontinence. In recent years, transanal opening of intersphincteric space (TROPIS) has gradually been applied to the treatment of complex anal fistula as a sphincter-preserving surgical approach. This article will review the theoretical basis and operational procedures, effectiveness and safety, and application scope of TROPIS in the treatment of complex anal fistula, aiming to provide a reference for the treatment of complex anal fistula.
format Article
id doaj-art-a9156ec04d0d41f4a39bd22b8629eb82
institution Kabale University
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-a9156ec04d0d41f4a39bd22b8629eb822025-08-20T03:49:17ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912024-04-0130224124410.19668/j.cnki.issn1674-0491.2024.02.023Advance of transanal opening of intersphincteric space in the treatment of complex anal fistulaChen Zeyang0Cai Mingzhu1Bai Zhaofu2Pan Shaorong3Li Yalun4Wang Pengyuan5Fang Jingjing6Sun Guidong7Shao Wanjin8Department of Gastrointestinal Surgery, Peking University First Hospital, Beijing 100034, ChinaDepartment of Anorectal Surgery, Xiamen Fifth Hospital, Xiamen 361101, Fujian, ChinaDepartment of Chinese Medicine Anorectal Surgery, Ningxia Hui Autonomous Region People’s Hospital, Yinchuan 750002, Ningxia, ChinaDepartment of Gastrointestinal Surgery, Peking University First Hospital, Beijing 100034, ChinaDepartment of Gastrointestinal Surgery, Peking University First Hospital, Beijing 100034, ChinaDepartment of Gastrointestinal Surgery, Peking University First Hospital, Beijing 100034, ChinaDepartment of Gastrointestinal Surgery, Peking University First Hospital, Beijing 100034, ChinaDepartment of Anorectal Surgery, Jiangsu Provincial Hospital of Traditional Chinese Medicine, Nanjing 210004, Jiangsu, ChinaDepartment of Anorectal Surgery, Jiangsu Provincial Hospital of Traditional Chinese Medicine, Nanjing 210004, Jiangsu, ChinaPatients with complex anal fistula experience recurrent perianal ulceration and infection, which seriously affects their quality of life. Due to the difficulty of treatment, surgeons need to weigh how to improve the success rate of surgery while reducing the risk of postoperative fecal incontinence. In recent years, transanal opening of intersphincteric space (TROPIS) has gradually been applied to the treatment of complex anal fistula as a sphincter-preserving surgical approach. This article will review the theoretical basis and operational procedures, effectiveness and safety, and application scope of TROPIS in the treatment of complex anal fistula, aiming to provide a reference for the treatment of complex anal fistula.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=156&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC2%E6%9C%9Fcomplex anal fistulatransanal opening of intersphincteric spacefecal incontinenceinternalsphincteric space
spellingShingle Chen Zeyang
Cai Mingzhu
Bai Zhaofu
Pan Shaorong
Li Yalun
Wang Pengyuan
Fang Jingjing
Sun Guidong
Shao Wanjin
Advance of transanal opening of intersphincteric space in the treatment of complex anal fistula
结直肠肛门外科
complex anal fistula
transanal opening of intersphincteric space
fecal incontinence
internalsphincteric space
title Advance of transanal opening of intersphincteric space in the treatment of complex anal fistula
title_full Advance of transanal opening of intersphincteric space in the treatment of complex anal fistula
title_fullStr Advance of transanal opening of intersphincteric space in the treatment of complex anal fistula
title_full_unstemmed Advance of transanal opening of intersphincteric space in the treatment of complex anal fistula
title_short Advance of transanal opening of intersphincteric space in the treatment of complex anal fistula
title_sort advance of transanal opening of intersphincteric space in the treatment of complex anal fistula
topic complex anal fistula
transanal opening of intersphincteric space
fecal incontinence
internalsphincteric space
url https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=156&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC2%E6%9C%9F
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AT baizhaofu advanceoftransanalopeningofintersphinctericspaceinthetreatmentofcomplexanalfistula
AT panshaorong advanceoftransanalopeningofintersphinctericspaceinthetreatmentofcomplexanalfistula
AT liyalun advanceoftransanalopeningofintersphinctericspaceinthetreatmentofcomplexanalfistula
AT wangpengyuan advanceoftransanalopeningofintersphinctericspaceinthetreatmentofcomplexanalfistula
AT fangjingjing advanceoftransanalopeningofintersphinctericspaceinthetreatmentofcomplexanalfistula
AT sunguidong advanceoftransanalopeningofintersphinctericspaceinthetreatmentofcomplexanalfistula
AT shaowanjin advanceoftransanalopeningofintersphinctericspaceinthetreatmentofcomplexanalfistula