Ligation of the intersphincteric fistula tract in the management of anal fistula. A systematic review

Yassin, Nuha; Hammond, T; Lunniss, Peter J.; Phillips, R. K. S.

doi:10.1111/codi.12224

Cited by 89 publications

(54 citation statements)

References 36 publications

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“…15 The Surgisis Biodesign Fistula Plug (Cook Medical, Bloomington, IN, USA) is associated with recurrence rates of between 17% and 86% and an incontinence rate of approaching zero, 16,17 while the ligation of fistula track procedure has yielded recurrence rates of 5%-60% and a incontinence rate of 6%. 18 The data in this study were collected prospectively. Using validated QOL and continence assessment tools, a trend was seen for worse QOL in anal fistula patients versus population norms.…”

Section: Discussionmentioning

confidence: 99%

Quality of life with anal fistula

Owen

Buchanan

Schizas

et al. 2016

annals

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INTRODUCTION Anal fistula affects people of working age. Symptoms include abscess, pain, discharge of pus and blood. Treatment of this benign disease can affect faecal continence, which may, in turn, impair quality of life (QOL). We assessed the QOL of patients with cryptoglandular anal fistula. METHODS Newly referred patients with anal fistula completed the St Mark's Incontinence Score, which ranges from 0 (perfect continence) to 24 (totally incontinent), and Short form 36 (SF-36) questionnaire at two institutions with an interest in anal fistula. The data were examined to identify factors affecting QOL. RESULTS Data were available for 146 patients (47 women), with a median age of 44 years (range 18-82 years) and a median continence score of 0 (range 0-23). Versus population norms, patients had an overall reduction in QOL. While those with recurrent disease had no difference on continence scores, QOL was worse on two of eight SF-36 domains (p<0.05). Patients with secondary extensions had reduced QOL in two domains (p<0.05), while urgency was associated with reduced QOL on five domains (p<0.05). Patients with loose seton had the same QOL as those without seton. No difference in urgency was found between patients with and without loose seton. In primary fistula patients, 19.4% of patients experienced urgency versus 36.3% of those with recurrent fistulas. CONCLUSIONS Patients with anal fistula had a reduced QOL, which was worse in those with recurrent disease, secondary extensions and urgency. Loose seton had no impact on QOL.

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Section: Discussionmentioning

confidence: 99%

Quality of life with anal fistula

Owen

Buchanan

Schizas

et al. 2016

annals

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“…In einer vergleichenden Studie zwischen LIFT und Mukosa-Flap bei hohen Analfisteln erzielten Tan et al [420] Trotz der kurzen Zeit, in der die relevanten Arbeiten erschienen, wurde das LIFT-Verfahren bereits in mehreren Reviews untersucht: Vergara-Fernandez (18 Studien) [465], Alasari (13 Studien) [18], Yassin (13 Studien) [487], Sirany (26 Studien) [398]und Hong (24Studien) [186]. Die aktuellste Arbeit von Sirany et al [398] [6,16,380,503].…”

Section: Lift-verfahrenunclassified

S3 guidelines: cryptoglandular anal fistulas

Ommer¹,

Herold²,

Berg

et al. 2016

coloproctology

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“…In this situation, we find that lithotomy position is more convenient to accord good exposure. Although there is currently no consensus on the use of bowel preparation pre-operatively, or use of prophylactic antibiotics, 11,12 we routinely administer a Fleet s enema preoperatively and 1.2 g of Augmentin s intravenously at the time of induction of anesthesia. Post-operatively, we give 625 mg of Augmentin s orally b.i.d.…”

Section: Technique and Tipsmentioning

confidence: 99%