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13087

RECTAL ADVANCEMENT FLAP TREATMENT COMPARED WITH SETON FOR HIGH TRANSSPHINCTERIC PERIANAL FISTULA

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Last updated: 01 Jan 2025

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Abstract

ABSTRACT
Background: Treatment of anal fistula is a balance between maximizing the chances of successful healing and avoiding
complications particularly incontinence from division of the anal sphincters. Many surgical procedures have been used
in the treatment of anal fistula, with varying success. Endorectal advancement flap can be a useful tool for the surgeon
faced with an anal fistula. This study aims to compare outcomes for rectal flap advancement in comparison to seton
placement in treating high transsphincteric perianal fistula.
Subjects & methods: The study included 54 patients with high transsphincteric perianal fistulas; 27 patients were treated
by rectal partial thickness advancement flap and the other 27 patients were treated by seton placement.
Results: Results proved to be better with rectal advancement flap than seton regarding time to complete healing,
postoperative wound infection, postoperative continence and recurrence.
Conclusion: Rectal Advancement Flap was found to be a promising and a more effective procedure than seton with
better healing rates and less liability for postoperative incontinence or recurrence.
  

DOI

10.21608/zumj.2018.13087

Keywords

High perianal fistula, rectal advancement flap, Seton

Authors

First Name

Mohammed

Last Name

Mohammed

MiddleName

Khairy

Affiliation

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Email

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City

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Orcid

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First Name

Zaki

Last Name

Allam

MiddleName

Abdelgawad

Affiliation

-

Email

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City

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Orcid

-

First Name

Nawel

Last Name

Hussein

MiddleName

El-Sayed

Affiliation

-

Email

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City

-

Orcid

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First Name

Nabil

Last Name

Hamrah

MiddleName

Abdel Azim

Affiliation

-

Email

-

City

-

Orcid

-

Volume

24

Article Issue

2

Related Issue

2495

Issue Date

2018-03-01

Receive Date

2018-09-10

Publish Date

2018-03-01

Page Start

135

Page End

142

Print ISSN

1110-1431

Online ISSN

2357-0717

Article File

ZUMJ_Volume 24_Issue 2_Pages 135-142.pdf

PDF . 687.2kB

Link

https://zumj.journals.ekb.eg/article_13087.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=13087

Order

6

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

RECTAL ADVANCEMENT FLAP TREATMENT COMPARED WITH SETON FOR HIGH TRANSSPHINCTERIC PERIANAL FISTULA

Details

Type

Article

Created At

22 Jan 2023