Rectal advancement flaps for the treatment of transphincteric perianal fistulasa three-dimensional endoanal ultrasound and quality of life assessment

  1. Marina Garcés Albir 1
  2. Stephanie García Botello 1
  3. Vicente Pla Martí 1
  4. José Martín Arévalo 1
  5. David Moro Valdezate 1
  6. Alejandro Espí 1
  7. Joaquín Ortega Serrano 1
  1. 1 Hospital Clínico Universitario. Valencia, Spain
Revista:
Revista Española de Enfermedades Digestivas

ISSN: 2340-416,  1130-0108

Año de publicación: 2020

Volumen: 112

Número: 11

Páginas: 860-863

Tipo: Artículo

DOI: 10.17235/REED.2020.7187/2020 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Revista Española de Enfermedades Digestivas

Resumen

This study quantifies the damage to the internal anal sphincter (IAS) after a rectal mucosal advancement flap for a high transphincteric fistula in 16 patients using 3D-endoanal ultrasound. This was correlated with postoperative incontinence and quality of life scores. The median length of involved IAS preoperatively was 50 % (20-100) and 93.72 % for EAS (47.4-100 %). IAS division did not influence continence (p > 0.05). Continence deteriorated between the pre-, postoperative (p = 0.014) and six-month follow-up (p = 0.005), with no significant differences after one year (p > 0.05). The FIQOL score and SF-36 deteriorated initially, with recovery in all domains except for mental health after one year. Three fistulas recurred (18.75 %).

Fuente de los datos: Dialnet