지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 141 - 145 (5page)
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초록· 키워드
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Purpose: Endorectal mucosal advancement flap with muscular plication can ensure complete closure of anovaginal fistu- las and preserve continence. The aim of this retrospective study was to show indications might be broadened to include anoperineal fistulas. Methods: This retrospective study gathered all available data from patients with anovaginal or anterior perineal fistulas who underwent transanal advancement flap repair with muscular plication. A loose seton was passed in the fistula track prior to surgery in all patients. Fistula healing was defined as fistula closure during proctological examination associated with complete resolution of symptoms. Results: Thirty-five patients were included from January 2011 to March 2017. Causes of fistula were various, mostly post- operative (34.3%, n = 12), obstetrical (17.1%, n = 6) and inflammatory (14.3%, n = 5). Success rate was 65.2%. Fistula heal- ing was obtained in 60.0% of patients with Crohn disease in remission. Closure rate was higher in anterior perineal fistu- las (89.0%) than in anovaginal fistulas (63.6%) even if it did not reach statistical significance. Slight fecal continence dis- orders were noted in 2 women (5.7%). Conclusion: This study demonstrates the efficacy of transanal advancement flap repair with muscular plication for ano- vaginal and anterior perineal fistulas. Similar closure rates and smaller postoperative incontinence rates compared to the classical technique make this surgery an optimal solution whose efficacy appears to be sustainable over time.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Das B / 2016 / Rectovaginal fistulae / Clin Colon Rectal Surg 29:50~56
De Parades V / 2011 / Endorectal advancement flap with muscular plication: a modified technique for rectovaginal fistula repair / Colorectal Dis 13:921~925
DeLeon MF / 2019 / Treatment strategies in Crohn’s-associated rectovaginal fistula / Clin Colon Rectal Surg 32:261~267
Pinto RA / 2010 / Are there predictors of outcome following rectovaginal fistula repair? / Dis Colon Rectum 53:1240~1247
Gao S / 2018 / Effect of early fasting and total parenteral nutrition support on the healing of incision and nutritional status in patients after sacrectomy / Orthop Traumatol Surg Res 104:539~544
De Parades V / 2011 / Endorectal advancement flap with muscular plication: a modified technique for rectovaginal fistula repair / Colorectal Dis 13:921~925
DeLeon MF / 2019 / Treatment strategies in Crohn’s-associated rectovaginal fistula / Clin Colon Rectal Surg 32:261~267
Pinto RA / 2010 / Are there predictors of outcome following rectovaginal fistula repair? / Dis Colon Rectum 53:1240~1247
Gao S / 2018 / Effect of early fasting and total parenteral nutrition support on the healing of incision and nutritional status in patients after sacrectomy / Orthop Traumatol Surg Res 104:539~544
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