6533b835fe1ef96bd129ea20
RESEARCH PRODUCT
Rectal advancement flaps for the treatment of transphincteric perianal fistulas: a three-dimensional endoanal ultrasound and quality of life assessment.
Alejandro EspíMarina Garcés AlbirJosé Martín-arévaloStephanie García-botelloDavid Moro-valdezateV. Pla-martíJoaquín Ortegasubject
medicine.medical_specialtybusiness.industryFistulaUltrasoundGastroenterologyRectumAnal CanalGeneral Medicinemedicine.diseaseSurgical FlapsSurgeryInternal anal sphincterTreatment OutcomeQuality of lifeEndoanal ultrasoundmedicineQuality of LifeHumansRectal FistulabusinessFecal Incontinencedescription
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-endoanal 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 %).
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-10-16 | Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva |