Quality of life with anal fistula

Owen, H A; Buchanan, G. N.; Schizas, Alexis; Cohen, Richard; Williams, Anna

doi:10.1308/rcsann.2016.0136

Cited by 71 publications

(80 citation statements)

References 23 publications

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“…En este estudio, hemos comprobado que la fístula anal ejerce un impacto entre moderado y alto sobre la calidad de vida de los participantes (mayor en mujeres que en hombres). Estos resultados son comparables a los de Owen et al 17 , que muestran una reducción de la calidad de vida en comparación con la población sin fístula anal. Sin embargo, Sailer et al 32 señalan que la fístula anal es relativamente bien tolerada, lo cual queda corroborado por el hecho de que pacientes con un 'tiempo con síntomas clínicos' inferior a 6 meses presentan peor calidad de vida que los que llevan más tiempo con estos síntomas.…”

Section: Discussionunclassified

“…Las fístulas complejas, pueden ser tratadas con diferentes técnicas que, si bien pretenden preservar la continencia, tienen resultados controvertidos [11][12][13][14][15][16] . Por este motivo, en pacientes en los que no es fácil encontrar una solución quirúrgica definitiva, la elección de la estrategia terapéutica debería estar orientada a mejorar su calidad de vida 17 .…”

Section: Introductionunclassified

“…Hasta la fecha, los estudios publicados que miden la calidad de vida en pacientes con fístula perianal utilizan cuestionarios generales (SF-12, SF-36) 17,20 y/o relacionados con la incontinencia (St Mark´s Incontinente Score 17,19 , Wexner Score 21 , FIQL 21 , Cleveland Incontinente Score 22 ). Recientemente, se ha publicado un cuestionario para medir específicamente la calidad de vida en pacientes diagnosticados de fístula perianal (Quality of Life in patients with Anal Fistula Questionnaire (QoLAF-Q)) 23 .…”

Section: Introductionunclassified

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Análisis y descripción de la calidad de vida específica en pacientes con fístula anal

et al. 2018

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Section: Discussionunclassified

Section: Introductionunclassified

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Análisis y descripción de la calidad de vida específica en pacientes con fístula anal

et al. 2018

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“…Patients with fistula-in-ano have been found to have a reduced quality of life (QOL), worse in those with recurrent disease and secondary extensions. 2 Various procedures have been advocated and described for the treatment of fistula-in-ano including fistulectomy, fistulotomy and the use of cutting seton. Newer technique like fibrin plug, anal fistula plug, Ligation of Intersphincteric fistula tract (LIFT), fistula laser closure (FiLaCTM) and Video Assisted Anal Fistula Treatment (VAAFT) have recently been added to the armamentarium of these treatment options.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the role of cyanoacrylate glue in the management of fistula-in-ano

Koli¹,

Kumar²,

Panda³

et al. 2020

Int Surg J

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Background: Fistula in ano is a common problem in patients presenting to surgical OPD. Various procedures have been described for the treatment of anal fistula, including fistulectomy, fistulotomy and use of a cutting seton. Surgical treatment of anal fistula is associated with a significant risk of recurrence and faecal incontinence due to damage to anal sphincter. The introduction of cyanoacrylate glue to close fistula tracts using an occlusive material and with no risk of incontinence (as there is no sphincter damage). The study was designed to evaluate the role of cyanoacrylate glue in the management of fistula in ano.Methods: Here, 40 patients were enrolled in study as day cases. Patients were examined clinically and subjected to MRI pelvis where internal opening couldn’t be palpated on digital rectal examination (DRE). Fistula tract was mapped using fistula probe and washed with diluted hydrogen peroxide and normal saline. The excess granulation tissue at the external opening was curetted. The glue was then injected slowly into fistulous tract through 8 F infant feeding tube. Patients were further examined in the OPD until 6-months.Results: Here, 32 patients got healed after first instillation of glue with stoppage of discharge from the fistulous tract. The other 2 patients required second instillation of glue and showed no signs of discharge thereafter. While 6/40 continued to discharge even after instillation of glue.Conclusions: Cyanoacrylate glue can be offered as a sphincter sparing alternative to conventional procedure in patients with anal fistula.

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“…Patients may also have systemic sepsis. 6 There are many therapeutic options for anal fistula. However, fistulotomy is the mainstay of treatment.…”

Section: Introductionmentioning

confidence: 99%

From fistula to disability. Severe infection due to anal fistula treated with NPWT — case report

Szyntor¹,

Wojciechowski²,

Surudo³

2019

NPWTJ

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Negative pressure wound therapy (NPWT) is increasingly used to facilitate wound healing. There are various wound types -primarily closed or open, clean or infected, superficial or deep-penetrating, open abdomen, enteroatmospheric fistulae, burns, etc. and almost each of these might be healed with the help of NPWT. It seems to be the most beneficial in hard-to-heal wounds. Using sub-atmospheric pressure, one can significantly accelerate the separating of necrotized tissues, stop inflammation, promote granulation, and drain the difficult wounds effectively. Typically, an optimum pressure range of −80 to −125 mmHg is administered. Few contraindications for the use of NPWT are challenged by new reports showing benefits in situations where NPWT was previously forbidden, (i.e. malignancy or bleeding in the wound), increasing the quality of life and avoiding wound infections. There is a growing body of data for new methods of treating anal fistula in the literature, but there are no data for elective treatment with NPWT. Attempts to develop NPWT protocols are problematic due to the diversity of cases and the frequent need for a personalized therapeutic approach.This paper presents a 56-year-old male patient suffering from severe, purulent inflammation of groin, inguinal, anal and left gluteal sites; septic, malnourished, depressed, in continuously worsening general status since 3 years. Computed tomography and colonoscopy did not reveal pathology except for purulent inflammation. At the beginning, the patient was treated symptomatically with antibiotics, colostomy and surgical excision facilitated with NPWT. Anal fistulae were found after a large tisue excision. A medium-thick skin transplantation was performed and well accepted in over 90%. This case presents a 103-day-long hospitalization with numerous complications. Finally, the wound healed completely and the patient was restored to his full physical abilities and his quality of life benefited greatly.NPWT used in this case allowed for inflammation control, extensive wound healing and closing the anal fistula with no recurrence.

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Quality of life with anal fistula

Cited by 71 publications

References 23 publications

Análisis y descripción de la calidad de vida específica en pacientes con fístula anal

Análisis y descripción de la calidad de vida específica en pacientes con fístula anal

Evaluation of the role of cyanoacrylate glue in the management of fistula-in-ano

From fistula to disability. Severe infection due to anal fistula treated with NPWT — case report

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