New Technique for Treating High Anal Fistulas
Author Information
Author(s): Chen Bo, Wang Yueting, Mei Zubing, Mao Chang, Liu Yicheng, Zhao Wenjun, Li Yingying, Ye Qianqian, Xu Jin, Wang Qingming
Primary Institution: Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
Hypothesis
This study evaluates the clinical efficacy of a novel sphincter-sparing technique for treating high transsphincteric anal fistula (HTAF).
Conclusion
Closed trans-intersphincteric fistulotomy (CTiF) is an effective technique for treating high transsphincteric anal fistula with a high healing rate.
Supporting Evidence
- CTiF achieved a healing rate of 90.91% during a mean follow-up of 9.3 months.
- The mean time to recovery was 7.09 weeks.
- Postoperative complications included urinary retention in 7.27% of patients.
- At 6 months, the Cleveland Clinic Florida fecal incontinence score was 0 for all patients.
Takeaway
Doctors have developed a new way to fix a type of anal problem that helps people heal better without hurting their muscles.
Methodology
This was a prospective study involving 55 patients who underwent CTiF, with preoperative MRI and follow-up assessments.
Potential Biases
Potential selection bias due to the single-center nature of the study.
Limitations
The study is limited by its single-center design and small sample size, which may introduce selection bias.
Participant Demographics
The study included 55 patients, predominantly male (92.73%), with a mean age of 36.04 years.
Statistical Information
P-Value
<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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