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논문 기본 정보

자료유형
학술저널
저자정보
Marc Paul J. Lopez (University of the Philippines Manila) Mark Augustine S. Onglao (University of the Philippines Manila) Hermogenes J. Monroy III (University of the Philippines Manila)
저널정보
대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.36 No.2
발행연도
2020.1
수록면
112 - 118 (7page)

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Purpose: We determined the outcomes of patients undergoing video-assisted anal fistula treatment (VAAFT) for fistula-in-ano at the Philippine General Hospital. Methods: Twenty consecutive adult patients who underwent the VAAFT procedure from 2016–2018 were included in this investigation. Information detailing baseline demographic and clinical data, fistula type and classification, and previous surgeries were retrieved from in-hospital and operative records. Operative time, identification of the internal opening, method of internal opening closure, and occurrence of immediate postoperative complications were determined. The status of the fistula was assessed at one month, 3 months, and 6 months postoperatively based on outpatient follow-up records. The primary outcomes were healing rate and recurrence rate. Secondary outcomes were 30-day morbidity, postoperative complications, and incontinence using the Wexner score. Results: Eighteen patients (90%) had a preoperative diagnosis of complex fistula, and 13 patients (65%) had undergone a previous fistula surgery. Primary healing rate was 55% at 1 month, 63.16% at 3 months, and 78.95% at 6 months postoperatively. Eighteen patients (94.74%) maintained continence (Wexner score = 0) at 6 months. Conclusion: Our study results suggest that VAAFT is a safe, minimally invasive technique for treatment of anal fistula and can preserve anal sphincter function. The technique has an acceptable healing rate with minimal complications.

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