Late results of surgery for incomplete internal fistula-in-ano
https://doi.org/10.33878/2073-7556-2022-21-3-52-59
Abstract
AIM: to assess late results of surgery for incomplete internal anal fistulas.
PATIENTS AND METHODS: the prospective cohort study included 156 patients with in complete internal anal fistulas in 2014-2017.
RESULTS: complete efficacy of the treatment was obtained in 132/147 (89.8%) patients, 106/117 (90.6%) revealed no anal incontinence (AI). Recurrence developed in 15/147 (10.2%) cases and 11/147 (7.5%) — anal incontinence. Newly developed incontinence was revealed in 7/117 (6.0%) patients: 6/117 (5.1%) had mild AI and 1/117 (0.9%) — moderate. The increase of AI degree showed 4/30 (13.3%) patients.
CONCLUSION: a differentiated approach to anal fistulas surgery made it possible to minimize risk of incontinence and recurrence.
About the Authors
A. M. Kuzminov
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Alexander M. Kuzminov
Salyama Adilya str., 2, Moscow, 123423
D. V. Vyshegorodtsev
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Dmitry V. Vyshegorodtsev
Salyama Adilya str., 2, Moscow, 123423
V. Yu. Korolik
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Vyacheslav Yu. Korolik
Salyama Adilya str., 2, Moscow, 123423
M. O. Chernozhukova
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Marina O. Chernozhukova
Salyama Adilya str., 2, Moscow, 123423
O. Yu. Fomenko
Ryzhikh National Medical Research Center of Coloproctology
Russian Federation
Russian Federation
Oksana Yu. Fomenko
Salyama Adilya str., 2, Moscow, 123423
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Review
For citations:
Kuzminov A.M., Vyshegorodtsev D.V., Korolik V.Yu., Chernozhukova M.O., Fomenko O.Yu. Late results of surgery for incomplete internal fistula-in-ano. Koloproktologia. 2022;21(3):52-59. https://doi.org/10.33878/2073-7556-2022-21-3-52-59
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