Study on the safety and efficacy of modified anal fistula plug surgery in the treatment of low transsphincter anal fistula
[Objectives] To investigate the safety and efficacy of modified anal fistula plug surgery in the treatment of low transsphincter anal fistula. [Methods] Sixty-five patients with low transsphincter anal fistula treated at the Fourth People’s Hospital of Nanhai District, Foshan, from January 2023 to J...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2024-12-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=481&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC6%E6%9C%9F |
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| Summary: | [Objectives] To investigate the safety and efficacy of modified anal fistula plug surgery in the treatment of low transsphincter anal fistula. [Methods] Sixty-five patients with low transsphincter anal fistula treated at the Fourth People’s Hospital of Nanhai District, Foshan, from January 2023 to July 2024 were enrolled. According to random number table method, they were divided into observation group (modified anal fistula plug surgery, n＝32) and control group (traditional fistulectomy, n＝33). The fistula healing rate, length of postoperative hospital stay, wound healing time, degree of anal pain (assessed using the Visual Analog Scale, VAS), anal function (assessed using the Wexner anal incontinence score) and postoperative complications (including wound infection, urinary retention, and difficulty defecating) were compared between the two groups. [Results] At 3 months after surgery, the fistula healing rate was 93.75% (30/32) in the observation group and 93.9% (31/33) in the control group, with no statistical significance (P＝0.682). The length of postoperative hospital stay was 8.0 (7.0, 11.2) days in the observation group and 8 (7, 11) days in the control group was, with no statistical significance (Z＝-0.033, P＝0.974). The wound healing time of observation group was shorter than that of control group (P<0.05). The VAS score of the two groups on the 7th day after surgery was lower than that on the 1st day after surgery, and the VAS score of the observation group on the 1st and 7th day after surgery was lower than that of the control group (P>0.05). At 3 months (±7 d) after surgery, there was no significant difference in Wexner anal incontinence score between the two groups (P>0.05). At 3 months after surgery, the in cidence of complications in the observation group was lower than that in the control group (P<0.05). [Conclusion] Under the premise of strictly selecting suitable cases and adhering to standardized procedures, modified anal fistula plug surgery is a safe and effective treatment for low transsphincter anal fistula. |
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| ISSN: | 1674-0491 |