Predictors of Long-Term Healing for Endorectal Advancement Flap for Anorectal Fistulas

نویسندگان

چکیده

Abstract Introduction Anorectal fistulas are some of the commonest surgical proctologic disorders treated by surgeons. Despite recent introduction various sphincter preserving techniques, search for optimal operation continues. The purpose this study was to determine predictors long-term healing endorectal advancement flap Methods A retrospective review a single surgeon experience with anorectal over an 18-year period. impact patient and fistula related factors were analyzed their on primary endpoint Results 87 patients underwent (Male/Female 42.5/57.5%). Median age 41 years. Sixty-nine (79.3%) had anal while 18 rectal (20.7%). An anterior based noted in 45 (51.7%). most common etiology cryptoglandular disease (87.4%). median operative time 75 minutes (range 36-250). Postoperative septic complications 4 (4.6%). Fistula documented 80 (93%). During follow-up months 1-38, 1 lost follow-up), recurrence 8 (9.3%), yielding overall success rate 83.7%. higher from (86.6%) compared other etiologies (63.6%) [p = 0.027]. Conclusions is associated high rate, low postoperative complication infrequent risk recurrence. Long-term without achieved more frequently non-cryptoglandular etiology.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Benign Anorectal: Rectovaginal Fistulas

Obstetric injury is the most frequent cause of acquired rectovaginal fistulas but infection and other forms of trauma may also result in these fistulas. After an obstetric injury, the fistula may be manifest immediately but more frequently appears 7–10 days after delivery. Fistulas occur most often after a thirdor fourth-degree laceration. Inadequate repair, breakdown of the repair, or infectio...

متن کامل

Repeat Transanal Advancement Flap Repair: Impact on the Overall Healing Rate of High Transsphincteric Fistulas and on Fecal Continence

PURPOSE Transanal advancement flap repair (TAFR) has been advocated as the treatment of choice for transsphincteric fistulas passing through the upper or middle third of the external anal sphincter. It is not clear whether previous attempts at repair adversely affect the outcome of TAFR. The purpose of the present study was to evaluate the success rate of a repeat TAFR and to assess the impact ...

متن کامل

Predictors of Long-Term Survival after Cardiopulmonary Resuscitation

Abstract Introduction: Survival after cardiac arrest is one of the most important issues related to the safety and quality of patient care, and unexpected events such as failure to follow guidelines can endanger the patient's safety. Objective: This study aimed to determine the long-term survival after cardiopulmonary resuscitation and its predictors in patients with cardiac arrest. Materi...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Journal of Coloproctology

سال: 2023

ISSN: ['2317-6423', '2237-9363']

DOI: https://doi.org/10.1055/s-0043-1772785