...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Clinical and Diagnostic Research >Does Treatment of Fistula-in-Ano by Ligation of Intersphincteric Fistula Tract Offer any Advantage over Standard Fistulectomy or Fistulotomy?
【24h】

Does Treatment of Fistula-in-Ano by Ligation of Intersphincteric Fistula Tract Offer any Advantage over Standard Fistulectomy or Fistulotomy?

机译：通过括约肌间瘘管结扎术治疗无瘘管瘘是否比标准的瘘管切除术或Fistulototomy有优势？

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction: Standard surgical treatment of trans-sphincteric fistulae by fistulectomy or fistulotomy has a morbidity of leaving a large perianal wound which needs prolonged care and has risk of incontinence and recurrence. Ligation of Intersphincteric Fistula Tract (LIFT) technique for fistula-in-ano has been reported to have less morbidity and recurrence.Aim: To assess if the use of LIFT technique for the treatment of trans-sphincteric fistulae offers any advantage over standard fistulectomy or fistulotomy technique.Materials and Methods: The prospective comparative study was carried out at Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India, after obtaining approval from the Institutional Ethics Committee. Sixty patients of trans-sphincteric fistula of cryptoglandular origin undergoing either LIFT or fistulectomy/fistulotomy were included and prospectively observed for operative time, postoperative pain, hospital stay, time taken for wound healing, incontinence and early recurrence (within three months of the operation). Statistical analysis was done by unpaired t-test and chi-square test using SAS? software.Results: Patients operated by LIFT showed significantly shorter operative time (mean of 32.50 minutes vs. 40.17 minutes) and hospital stay (mean of 1.64 days vs. 2.53 days), decreased severity of pain and faster wound healing (mean 5.74 weeks vs. 6.89 weeks) compared to patients undergoing fistulectomy/fistulotomy. Though more patients had recurrence in the LIFT group (five patients in LIFT vs. three patients in fistulotomy/fistulectomy) this difference was not statistically significant. There was no incidence of incontinence (temporary or permanent) in patients of LIFT while three patients of fistulectomy had temporary flatus incontinence.Conclusion: LIFT offers the benefit of a shorter operative time, decreased postoperative pain, shorter hospital stay and faster wound healing with very low incidence of incontinence compared to fistulectomy or fistulotomy with a recurrence rate not significantly different from it.
机译：简介：通过瘘管切除术或瘘管切开术进行的经肛门括约肌瘘的标准手术治疗会留下大的肛周伤口，需要长期护理，存在失禁和复发的风险。据报道，经肛门括约肌瘘管结扎术（LIFT）技术可减少肛门内瘘的发病率和复发率。目的：评估使用LIFT技术治疗经肛门括约肌瘘是否比标准瘘管切除术或材料与方法：前瞻性比较研究在获得机构伦理委员会批准后，在印度马哈拉施特拉邦孟买的洛克曼雅·蒂拉克市立医学院进行。纳入了60例行LIFT或瘘管切除/瘘管切开术的隐性经腺括约肌瘘患者，并对其手术时间，术后疼痛，住院时间，伤口愈合时间，大小便失禁和早期复发进行了前瞻性观察（手术三个月内） 。统计分析是通过不配对t检验和使用SAS？的卡方检验完成的。结果：LIFT手术患者的手术时间（平均32.50分钟vs. 40.17分钟）和住院时间（平均1.64天vs. 2.53天）显着缩短，疼痛严重程度降低，伤口愈合更快（平均5.74周vs. （6.89周）与接受瘘管切除术/ Fistulotutomy的患者相比。尽管LIFT组中有更多的患者复发（LIFT中有5例患者，而纤维网膜切开术/瘘管切除术中有3例患者），但这种差异在统计学上并不显着。 LIFT患者无尿失禁的发生（暂时或永久性），而三名瘘管切除术患者则出现暂时性肠胃便失禁。结论：LIFT具有缩短手术时间，减少术后疼痛，缩短住院时间和伤口愈合快等优点，与瘘管切除术或腓肠肌切开术相比，尿失禁的发生率低，复发率也无明显差异。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号