Anal fistula: results of surgical treatment in a consecutive series of patients

Detalhes bibliográficos
Autor(a) principal: Oliveira,Paulo Gonçalves de
Data de Publicação: 2012
Outros Autores: Sousa,João Batista de, Almeida,Romulo Medeiros de, Wurmbauer,Isabel Ferreira Saenger, Santos,Antônio Carlos Nóbrega dos, Guilherme Filho,José
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632012000100008
Resumo: OBJECTIVES: To evaluate the results of surgical treatment of patients with anal fistulas in a consecutive series of patients. METHODS: A retrospective analytical study of a consecutive series of cases prospectively collected. The sample comprised 210 patients who underwent surgery; demographic data, signs and symptoms, intraoperative classification of the fistulas and healing time were analyzed. RESULTS: The median age was 38 years and 69.0% of the patients were male. The most frequent symptom was perianal orifice with purulent drainage. The fistulas were classified as transsphincteric in 60.9% and the most used operative treatment was the marsupialization of fistulotomy, in 84.2% of cases. Complete healing occurred in all patients between 2 and 16 weeks. One hundred and seventy-eight patients, 84.8% of the patients who underwent surgery, were evaluated at least one year after surgery and recurrence occurred in 6.4% of cases. CONCLUSIONS: There was male prevalence (2.2/1), and most fistulas were transsphincteric. The marsupialization of fistulotomy was the most used operative treatment, and it presented acceptable low rates of morbidity and recurrence of 6.4%.
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spelling Anal fistula: results of surgical treatment in a consecutive series of patientsfistularectal fistulasurgeryclassificationsurgical treatmentoperativeOBJECTIVES: To evaluate the results of surgical treatment of patients with anal fistulas in a consecutive series of patients. METHODS: A retrospective analytical study of a consecutive series of cases prospectively collected. The sample comprised 210 patients who underwent surgery; demographic data, signs and symptoms, intraoperative classification of the fistulas and healing time were analyzed. RESULTS: The median age was 38 years and 69.0% of the patients were male. The most frequent symptom was perianal orifice with purulent drainage. The fistulas were classified as transsphincteric in 60.9% and the most used operative treatment was the marsupialization of fistulotomy, in 84.2% of cases. Complete healing occurred in all patients between 2 and 16 weeks. One hundred and seventy-eight patients, 84.8% of the patients who underwent surgery, were evaluated at least one year after surgery and recurrence occurred in 6.4% of cases. CONCLUSIONS: There was male prevalence (2.2/1), and most fistulas were transsphincteric. The marsupialization of fistulotomy was the most used operative treatment, and it presented acceptable low rates of morbidity and recurrence of 6.4%.Sociedade Brasileira de Coloproctologia2012-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632012000100008Journal of Coloproctology (Rio de Janeiro) v.32 n.1 2012reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1590/S2237-93632012000100008info:eu-repo/semantics/openAccessOliveira,Paulo Gonçalves deSousa,João Batista deAlmeida,Romulo Medeiros deWurmbauer,Isabel Ferreira SaengerSantos,Antônio Carlos Nóbrega dosGuilherme Filho,Joséeng2012-06-29T00:00:00Zoai:scielo:S2237-93632012000100008Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2012-06-29T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false
dc.title.none.fl_str_mv Anal fistula: results of surgical treatment in a consecutive series of patients
title Anal fistula: results of surgical treatment in a consecutive series of patients
spellingShingle Anal fistula: results of surgical treatment in a consecutive series of patients
Oliveira,Paulo Gonçalves de
fistula
rectal fistula
surgery
classification
surgical treatment
operative
title_short Anal fistula: results of surgical treatment in a consecutive series of patients
title_full Anal fistula: results of surgical treatment in a consecutive series of patients
title_fullStr Anal fistula: results of surgical treatment in a consecutive series of patients
title_full_unstemmed Anal fistula: results of surgical treatment in a consecutive series of patients
title_sort Anal fistula: results of surgical treatment in a consecutive series of patients
author Oliveira,Paulo Gonçalves de
author_facet Oliveira,Paulo Gonçalves de
Sousa,João Batista de
Almeida,Romulo Medeiros de
Wurmbauer,Isabel Ferreira Saenger
Santos,Antônio Carlos Nóbrega dos
Guilherme Filho,José
author_role author
author2 Sousa,João Batista de
Almeida,Romulo Medeiros de
Wurmbauer,Isabel Ferreira Saenger
Santos,Antônio Carlos Nóbrega dos
Guilherme Filho,José
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Oliveira,Paulo Gonçalves de
Sousa,João Batista de
Almeida,Romulo Medeiros de
Wurmbauer,Isabel Ferreira Saenger
Santos,Antônio Carlos Nóbrega dos
Guilherme Filho,José
dc.subject.por.fl_str_mv fistula
rectal fistula
surgery
classification
surgical treatment
operative
topic fistula
rectal fistula
surgery
classification
surgical treatment
operative
description OBJECTIVES: To evaluate the results of surgical treatment of patients with anal fistulas in a consecutive series of patients. METHODS: A retrospective analytical study of a consecutive series of cases prospectively collected. The sample comprised 210 patients who underwent surgery; demographic data, signs and symptoms, intraoperative classification of the fistulas and healing time were analyzed. RESULTS: The median age was 38 years and 69.0% of the patients were male. The most frequent symptom was perianal orifice with purulent drainage. The fistulas were classified as transsphincteric in 60.9% and the most used operative treatment was the marsupialization of fistulotomy, in 84.2% of cases. Complete healing occurred in all patients between 2 and 16 weeks. One hundred and seventy-eight patients, 84.8% of the patients who underwent surgery, were evaluated at least one year after surgery and recurrence occurred in 6.4% of cases. CONCLUSIONS: There was male prevalence (2.2/1), and most fistulas were transsphincteric. The marsupialization of fistulotomy was the most used operative treatment, and it presented acceptable low rates of morbidity and recurrence of 6.4%.
publishDate 2012
dc.date.none.fl_str_mv 2012-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632012000100008
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632012000100008
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S2237-93632012000100008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
dc.source.none.fl_str_mv Journal of Coloproctology (Rio de Janeiro) v.32 n.1 2012
reponame:Journal of Coloproctology (Rio de Janeiro. Online)
instname:Sociedade Brasileira de Coloproctologia (SBCP)
instacron:SBCP
instname_str Sociedade Brasileira de Coloproctologia (SBCP)
instacron_str SBCP
institution SBCP
reponame_str Journal of Coloproctology (Rio de Janeiro. Online)
collection Journal of Coloproctology (Rio de Janeiro. Online)
repository.name.fl_str_mv Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)
repository.mail.fl_str_mv ||sbcp@sbcp.org.br
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