Anal fistula surgery in an outpatient setting: the Dubai experience

Journal of Coloproctology - Tập 35 - Trang 42-45 - 2015
Wessam Hazim1, Labib Al-Ozaibi1, Hadiel Azam1, Alya Al-Mazrouei1, Faisal Al-Badri1
1Surgical Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates

Tóm tắt

Abstract Aim To determine whether surgery for transsphincteric and complex fistula-in-ano can be performed safely as a day case. Method This is a retrospective study of 66 patients with transsphincteric and complex anal fistulas, initially managed with preliminary loose Seton followed by fistulectomy and sphincter repair 2–4 months later between March 2011 and March 2014. Patients were seen at the clinic 1 week, 3 months and 1 year post-operatively and were observed for complications and recurrences; incontinence was noted down and was graded according to the Cleveland Clinic score. Result Twenty-five patients (38%) had high or complex fistulas and 32 (48.5%) had a history of previous surgery. All cases were done in an outpatient setting. The Seton was kept in situ for 2–5 months (2.6 months) followed by fistulectomy and sphincter repair. Complete healing was achieved within approximately 3.6 weeks (2–8 weeks). Fifty-one patients were followed up successfully for one year. Two patients had temporary flatus incontinence which had resolved over 2–3 months. Recurrence had occurred in 2 (3.9%) patients. Conclusion Transsphincteric and complex fistulas can safely be operated on as day case surgeries with high patient satisfaction and less complication in the population we studied.

Tài liệu tham khảo

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Thông tin xuất bản

Journal of Coloproctology

Tập 35

42-45

Thông tin tác giả