학술논문
Rectal advancement flaps for the treatment of transphincteric perianal fistulas: a three-dimensional endoanal ultrasound and quality of life assessment
Document Type
Academic Journal
Author
Source
Revista Espanola de Enfermadades Digestivas (REED). November, 2020, Vol. 112 Issue 11, p860, 4 p.
Subject
Language
Spanish
ISSN
1130-0108
Abstract
This study quantifies the damage to the internal anal sphincter (IAS) after a rectal mucosal advancement flap for a high transphincteric fistula in 16 patients using 3D-endo-anal ultrasound. This was correlated with postoperative incontinence and quality of life scores. The median length of involved IAS preoperatively was 50 % (20-100) and 93.72 % for EAS (47.4-100 %). IAS division did not influence continence (p > 0.05). Continence deteriorated between the pre-, postoperative (p = 0.014) and six-month follow-up (p = 0.005), with no significant differences after one year (p > 0.05). The FIQOL score and SF-36 deteriorated initially, with recovery in all domains except for mental health after one year. Three fistulas recurred (18.75 %). Keywords: Rectal mucosal advancement flap. Endoanal ultrasound. Quality of life. Anal continence. Anal sphincter.
INTRODUCTION Surgical management of perianal fistulas is associated with a considerable morbidity caused by damage to the anal sphincters. Incontinence rates after fistula treatment vary from 18 % to 82 [...]
INTRODUCTION Surgical management of perianal fistulas is associated with a considerable morbidity caused by damage to the anal sphincters. Incontinence rates after fistula treatment vary from 18 % to 82 [...]