A modified sphincter-preserved procedure for high complex anal fistulas: a preliminary study.

IF 4.2 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Gastroenterology Report Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI:10.1093/gastro/goaf084
Guozhong Xiao, Huaxian Chen, Heng Zhang, Yihui Zheng, Minyi Luo, Chaoxin Yang, Donglin Ren, Genggang Lin, Hongcheng Lin
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引用次数: 0

Abstract

Background: The management of high complex anal fistulas has posed a significant challenge for surgeons. In this study, we presented a novel surgical procedure for managing high complex anal fistulas that combines core-out fistulectomy with suture repair of the external anal sphincter defect and endorectal advancement flap.

Methods: A cohort of patients with high complex anal fistulas undergoing core-out fistulectomy combined with suture repair of the external anal sphincter defect and endorectal advancement flap between December 2020 and December 2021 was reviewed retrospectively.

Results: The median age of the patients was 43 (range: 25-53) years. All patients had high transsphincteric fistulas. Two of the five cases involved recurrent anal fistulas. During the median follow-up period of 23 (range: 23-34) months, no recurrence events were observed in the cohort. Furthermore, it was noted that no patients developed anal incontinence after the operation.

Conclusion: Core-out fistulectomy combined with suture repair of the external anal sphincter defect and endorectal advancement flap is an effective procedure for the treatment of high complex anal fistulas.

一种改良的保留括约肌的手术治疗高度复杂肛瘘:初步研究。
背景:高度复杂肛瘘的治疗是外科医生面临的一个重大挑战。在这项研究中,我们提出了一种治疗高度复杂肛瘘的新手术方法,即将外瘘切除术与肛门外括约肌缺损缝合修复和直肠内推进瓣相结合。方法:回顾性分析2020年12月至2021年12月行高复杂性肛瘘外瘘切除术联合肛门外括约肌缺损缝合修复及直肠内推进皮瓣的患者队列。结果:患者中位年龄为43岁(范围:25-53岁)。所有患者均有高括约肌瘘。5例中2例为复发性肛瘘。在中位随访23个月(范围:23-34个月)期间,队列中未观察到复发事件。此外,我们注意到术后没有患者出现肛门失禁。结论:取心式肛瘘切除术联合肛外括约肌缺损缝合修复及直肠内推进瓣是治疗高度复杂肛瘘的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Gastroenterology Report
Gastroenterology Report Medicine-Gastroenterology
CiteScore
4.60
自引率
2.80%
发文量
63
审稿时长
8 weeks
期刊介绍: Gastroenterology Report is an international fully open access (OA) online only journal, covering all areas related to gastrointestinal sciences, including studies of the alimentary tract, liver, biliary, pancreas, enteral nutrition and related fields. The journal aims to publish high quality research articles on both basic and clinical gastroenterology, authoritative reviews that bring together new advances in the field, as well as commentaries and highlight pieces that provide expert analysis of topical issues.
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