| Autor: |
Mund, Ramani Ranjan, Patro, Santosh Kumar, Krishna, M. Siva Rama, Das, Saurav |
| Předmět: |
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| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2022, Vol. 13` Issue 8, p556-572, 17p |
| Abstrakt: |
BACKGROUND: Fistula-in-ano is a commonly encountered surgical problem with high prevalence. Because of anal sphincter involvement, the treatment of high fistula poses a high risk for impairment of continence as well as recurrence. Due to absence of a standard technique for the treatment of high fistula-in-ano, treatment must be navigated by surgeon's experience and judgement. AIMS AND OBJECTIVES: Patients of high fistula-in-ano to be managed with seton application alone or in combination with fistulectomy and recurrence rate, incontinence rate and other post-operative complications to be determined after completion of treatment and follow-up period. METHODOLOGY: 40 patients of high fistula-in-ano who were admitted to the Department of General Surgery of MKCG Medical College and Hospital, Berhampur from August 2020 to July 2022, underwent fistulogram and MRI and further treated surgically with seton usage(combined fistulectomy with seton or cutting seton alone) and followed-up till 6 months. RESULTS AND CONCLUSION: Overall recurrence rate involving both procedures was 7.5%. Overall incontinence encountered while treating high fistula-in-ano with seton during follow-up was 7.5% for minor incontinence and 2.5% for major incontinence. a high proportion of high fistula-in-ano was seen in the present audit compared to previous studies. Despite this, a satisfactory outcome was achieved in the vast majority with a relatively low rate of incontinence and recurrence with seton usage in high fistulas. However further studies and randomised control trials are required to compare between seton and other newer modalities to evolve the best possible treatment to manage high fistula-in-ano, which causes long-term morbidity to the patients both preoperatively as well as postoperatively. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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