Results of treatment of fistula-in-ano |
| |
Authors: | Carol-Ann Vasilevsky MD Dr Philip H Gordon MD |
| |
Affiliation: | (1) Sir Mortimer B. Davis Jewish General Hospital, 3755 Cote St. Catherine Road, H3T 1E2 Montreal, Quebec |
| |
Abstract: | To evaluate the application of Parks' classification in the management of patients with fistula-in-ano, a study was undertaken
to assess the outcome of surgery, especially with respect to the recurrence rate and alteration of continence. A retrospective
analysis of 160 consecutive patients who were classified at the time of operation was conducted. The distribution of fistulas
was as follows: intersphincteric, 41.9 percent, transsphincteric, 52.1 percent, suprasphincteric, 1.3 percent, extrasphincteric,
0. A horseshoe extension occurred in 8.8 percent of the fistulas and 3.8 percent did not exactly conform to the classification
as they were either complex or combinations of more than one type of fistula. The sole immediate postoperative complication
was bleeding, which occurred one week postoperatively and ceased spontaneously (0.7 percent). Alteration in continence occurred
in 6 percent of patients with 2.6 percent experiencing temporary incontinence to flatus, 1.3 percent to liquid stool, and
0.7 percent to solid stool. Permanent loss of control for flatus occurred in one patient (0.7 percent) and for liquid stool
in one patient (0.7 percent). No patients suffered loss of control for solid stool. Recurrence developed in 6.3 percent of
patients, all between five and 25 months postoperatively. Classifcation was found to be a useful guide in the operative management
of patients with fistula-in-ano.
Read at the joint meeting of the American Society of Colon and Rectal Surgeons with the Section of Colo-Proctology, Royal
Society of Medicine, and the Section of Colonic and Rectal Surgery, Royal Australasian College of Surgeons, New Orleans, Louisiana,
May 6 to 11, 1984. |
| |
Keywords: | Fistula-in-ano Parks' classification Management Results |
本文献已被 SpringerLink 等数据库收录! |
|