Comparison of Recurrence of High Trans-Sphinteric Anal Fistula After Vaaft and Tight Setons in Military Hospital Rawalpindi
Objective: To compare the recurrence rate in patients undergoing fistulectomy using tight setons with those using videoassisted anal fistula treatment (VAAFT). Study Design: Comparative prospective study. Place and Duration of Study: Department of General Surgery, MH Rawalpindi, Pakistan from May 20...
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| Veröffentlicht in: | Pakistan Armed Forces medical journal 2022-08, Vol.72 (4), p.1347-50 |
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| container_title | Pakistan Armed Forces medical journal |
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| creator | Akbar, Muhammad Haroon Bashir, Umar Shabbir, Hassan Ans, Muhammad Majeed, Farhan Ahmed Abbasi, Shahzad Ahmed Khan, Attayaba Amjad, Muhammad Ammar |
| description | Objective: To compare the recurrence rate in patients undergoing fistulectomy using tight setons with those using videoassisted anal fistula treatment (VAAFT).
Study Design: Comparative prospective study.
Place and Duration of Study: Department of General Surgery, MH Rawalpindi, Pakistan from May 2018 to Dec 2021.
Methodology: We included 200 patients with high trans-sphincteric anal fistula (simple or complex) of age 18 to 60 years, having ASA I or II. Group- A comprised patients undergoing treatment with VAAFT, while Group- B included patients undergoing treatment with Tight Seton in conventional surgery. Patients were followed for three months after the procedure. Patients having a history of discharge around or in the vicinity of the previous external opening of the anal fistula were labelled as having a recurrence. Recurrence was confirmed on MRI Fistulogram.
Results: The mean age of patients in Group-A was 42.10±8.26 years, and in Group-B was 42.17±7.91 years (p=0.95). There were 58 male patients in Group-A and 55 male patients in Group-B (p=0.67). The mean duration of the fistula was 5.30±1.64 months in Group-A and 5.22±1.61 months in Group-B (p=0.72). Recurrence was diagnosed in 24 patients in Group-B and only 06 patients in Group-A (p |
| doi_str_mv | 10.51253/pafmj.v72i4.4133 |
| format | Article |
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Study Design: Comparative prospective study.
Place and Duration of Study: Department of General Surgery, MH Rawalpindi, Pakistan from May 2018 to Dec 2021.
Methodology: We included 200 patients with high trans-sphincteric anal fistula (simple or complex) of age 18 to 60 years, having ASA I or II. Group- A comprised patients undergoing treatment with VAAFT, while Group- B included patients undergoing treatment with Tight Seton in conventional surgery. Patients were followed for three months after the procedure. Patients having a history of discharge around or in the vicinity of the previous external opening of the anal fistula were labelled as having a recurrence. Recurrence was confirmed on MRI Fistulogram.
Results: The mean age of patients in Group-A was 42.10±8.26 years, and in Group-B was 42.17±7.91 years (p=0.95). There were 58 male patients in Group-A and 55 male patients in Group-B (p=0.67). The mean duration of the fistula was 5.30±1.64 months in Group-A and 5.22±1.61 months in Group-B (p=0.72). Recurrence was diagnosed in 24 patients in Group-B and only 06 patients in Group-A (p<0.001).
Conclusion: Video-assisted anal fistula treatment (VAAFT) has a lower recurrence rate than Tight Setons in conventional surgery in treating high trans-sphinteric anal fistula.</description><identifier>ISSN: 0030-9648</identifier><identifier>EISSN: 2411-8842</identifier><identifier>DOI: 10.51253/pafmj.v72i4.4133</identifier><language>eng</language><publisher>Rawalpindi: Knowledge Bylanes</publisher><subject>Abscesses ; Age ; Anorectal fistula ; Comparative analysis ; Fecal incontinence ; Females ; Fistula ; Hospitals ; Males ; Metronidazole ; Surgery ; Sutures</subject><ispartof>Pakistan Armed Forces medical journal, 2022-08, Vol.72 (4), p.1347-50</ispartof><rights>COPYRIGHT 2022 Knowledge Bylanes</rights><rights>(c)2022 Pakistan Armed Forces Medical Journal</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Akbar, Muhammad Haroon</creatorcontrib><creatorcontrib>Bashir, Umar</creatorcontrib><creatorcontrib>Shabbir, Hassan</creatorcontrib><creatorcontrib>Ans, Muhammad</creatorcontrib><creatorcontrib>Majeed, Farhan Ahmed</creatorcontrib><creatorcontrib>Abbasi, Shahzad Ahmed</creatorcontrib><creatorcontrib>Khan, Attayaba</creatorcontrib><creatorcontrib>Amjad, Muhammad Ammar</creatorcontrib><title>Comparison of Recurrence of High Trans-Sphinteric Anal Fistula After Vaaft and Tight Setons in Military Hospital Rawalpindi</title><title>Pakistan Armed Forces medical journal</title><description>Objective: To compare the recurrence rate in patients undergoing fistulectomy using tight setons with those using videoassisted anal fistula treatment (VAAFT).
Study Design: Comparative prospective study.
Place and Duration of Study: Department of General Surgery, MH Rawalpindi, Pakistan from May 2018 to Dec 2021.
Methodology: We included 200 patients with high trans-sphincteric anal fistula (simple or complex) of age 18 to 60 years, having ASA I or II. Group- A comprised patients undergoing treatment with VAAFT, while Group- B included patients undergoing treatment with Tight Seton in conventional surgery. Patients were followed for three months after the procedure. Patients having a history of discharge around or in the vicinity of the previous external opening of the anal fistula were labelled as having a recurrence. Recurrence was confirmed on MRI Fistulogram.
Results: The mean age of patients in Group-A was 42.10±8.26 years, and in Group-B was 42.17±7.91 years (p=0.95). There were 58 male patients in Group-A and 55 male patients in Group-B (p=0.67). The mean duration of the fistula was 5.30±1.64 months in Group-A and 5.22±1.61 months in Group-B (p=0.72). Recurrence was diagnosed in 24 patients in Group-B and only 06 patients in Group-A (p<0.001).
Conclusion: Video-assisted anal fistula treatment (VAAFT) has a lower recurrence rate than Tight Setons in conventional surgery in treating high trans-sphinteric anal fistula.</description><subject>Abscesses</subject><subject>Age</subject><subject>Anorectal fistula</subject><subject>Comparative analysis</subject><subject>Fecal incontinence</subject><subject>Females</subject><subject>Fistula</subject><subject>Hospitals</subject><subject>Males</subject><subject>Metronidazole</subject><subject>Surgery</subject><subject>Sutures</subject><issn>0030-9648</issn><issn>2411-8842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptUU1rGzEQFSWFmiQ_oDdBz-voa1frozFNXEgJJG6vYqIdJTK70laSW0L_fBUnEAKdOczXewMzj5DPnC1bLlp5MYOb9svfWni1VFzKD2QhFOdN3ytxQhaMSdasOtV_Iuc571m1VgrF2gX5u4nTDMnnGGh09BbtISUMFp-rrX94pLsEITd386MPBZO3dB1gpJc-l8MIdO1qk_4EcIVCGOiuUgq9wxJDpj7Q7370BdIT3cY812ykt_AHxtmHwZ-Rjw7GjOev8ZT8uPy622yb65urb5v1dWMF06WBrrWdRC1Q3A9dpzkMsILBKd33-l5pzaBfWcZwsHVosR7NeQeoWuxBO5Cn5MvL3jnFXwfMxezjIdUrshFarHotWy3fUA8wovHBxZLATj5bs9ZCKcF4Jypq-R9U9QEnb2NA52v_HYG_EGyKOSd0Zk5-qh8xnJmjeuaonjmqZ57Vk_8AnM6Oag</recordid><startdate>20220831</startdate><enddate>20220831</enddate><creator>Akbar, Muhammad Haroon</creator><creator>Bashir, Umar</creator><creator>Shabbir, Hassan</creator><creator>Ans, Muhammad</creator><creator>Majeed, Farhan Ahmed</creator><creator>Abbasi, Shahzad Ahmed</creator><creator>Khan, Attayaba</creator><creator>Amjad, Muhammad Ammar</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20220831</creationdate><title>Comparison of Recurrence of High Trans-Sphinteric Anal Fistula After Vaaft and Tight Setons in Military Hospital Rawalpindi</title><author>Akbar, Muhammad Haroon ; Bashir, Umar ; Shabbir, Hassan ; Ans, Muhammad ; Majeed, Farhan Ahmed ; Abbasi, Shahzad Ahmed ; Khan, Attayaba ; Amjad, Muhammad Ammar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c207t-a65c63e72e2bd6671ada9adf47887b4770a89c00edc671ce884116ae45e8a7fa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abscesses</topic><topic>Age</topic><topic>Anorectal fistula</topic><topic>Comparative analysis</topic><topic>Fecal incontinence</topic><topic>Females</topic><topic>Fistula</topic><topic>Hospitals</topic><topic>Males</topic><topic>Metronidazole</topic><topic>Surgery</topic><topic>Sutures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akbar, Muhammad Haroon</creatorcontrib><creatorcontrib>Bashir, Umar</creatorcontrib><creatorcontrib>Shabbir, Hassan</creatorcontrib><creatorcontrib>Ans, Muhammad</creatorcontrib><creatorcontrib>Majeed, Farhan Ahmed</creatorcontrib><creatorcontrib>Abbasi, Shahzad Ahmed</creatorcontrib><creatorcontrib>Khan, Attayaba</creatorcontrib><creatorcontrib>Amjad, Muhammad Ammar</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Pakistan Armed Forces medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akbar, Muhammad Haroon</au><au>Bashir, Umar</au><au>Shabbir, Hassan</au><au>Ans, Muhammad</au><au>Majeed, Farhan Ahmed</au><au>Abbasi, Shahzad Ahmed</au><au>Khan, Attayaba</au><au>Amjad, Muhammad Ammar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Recurrence of High Trans-Sphinteric Anal Fistula After Vaaft and Tight Setons in Military Hospital Rawalpindi</atitle><jtitle>Pakistan Armed Forces medical journal</jtitle><date>2022-08-31</date><risdate>2022</risdate><volume>72</volume><issue>4</issue><spage>1347</spage><epage>50</epage><pages>1347-50</pages><issn>0030-9648</issn><eissn>2411-8842</eissn><abstract>Objective: To compare the recurrence rate in patients undergoing fistulectomy using tight setons with those using videoassisted anal fistula treatment (VAAFT).
Study Design: Comparative prospective study.
Place and Duration of Study: Department of General Surgery, MH Rawalpindi, Pakistan from May 2018 to Dec 2021.
Methodology: We included 200 patients with high trans-sphincteric anal fistula (simple or complex) of age 18 to 60 years, having ASA I or II. Group- A comprised patients undergoing treatment with VAAFT, while Group- B included patients undergoing treatment with Tight Seton in conventional surgery. Patients were followed for three months after the procedure. Patients having a history of discharge around or in the vicinity of the previous external opening of the anal fistula were labelled as having a recurrence. Recurrence was confirmed on MRI Fistulogram.
Results: The mean age of patients in Group-A was 42.10±8.26 years, and in Group-B was 42.17±7.91 years (p=0.95). There were 58 male patients in Group-A and 55 male patients in Group-B (p=0.67). The mean duration of the fistula was 5.30±1.64 months in Group-A and 5.22±1.61 months in Group-B (p=0.72). Recurrence was diagnosed in 24 patients in Group-B and only 06 patients in Group-A (p<0.001).
Conclusion: Video-assisted anal fistula treatment (VAAFT) has a lower recurrence rate than Tight Setons in conventional surgery in treating high trans-sphinteric anal fistula.</abstract><cop>Rawalpindi</cop><pub>Knowledge Bylanes</pub><doi>10.51253/pafmj.v72i4.4133</doi><tpages>-1296</tpages><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Abscesses Age Anorectal fistula Comparative analysis Fecal incontinence Females Fistula Hospitals Males Metronidazole Surgery Sutures |
| title | Comparison of Recurrence of High Trans-Sphinteric Anal Fistula After Vaaft and Tight Setons in Military Hospital Rawalpindi |
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