Video-Assisted Anal Fistula Treatment (VAAFT) for Complex Anal Fistula: A Preliminary Evaluation in China
BACKGROUND Although many attempts have been made to advance the treatment of complex anal fistula, it continues to be a difficult surgical problem. This study aimed to describe the novel technique of video-assisted anal fistula treatment (VAAFT) and our preliminary experiences using VAAFT with patie...
Gespeichert in:
| Veröffentlicht in: | Medical science monitor 2017-04, Vol.23, p.2065-2071 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2071 |
|---|---|
| container_issue | |
| container_start_page | 2065 |
| container_title | Medical science monitor |
| container_volume | 23 |
| creator | Jiang, Hui-Hong Liu, Hai-Long Li, Zhen Xiao, Yi-Hua Li, A-Jian Chang, Yi Zhang, Yong Lv, Liang Lin, Mou-Bin |
| description | BACKGROUND Although many attempts have been made to advance the treatment of complex anal fistula, it continues to be a difficult surgical problem. This study aimed to describe the novel technique of video-assisted anal fistula treatment (VAAFT) and our preliminary experiences using VAAFT with patients with complex anal fistula. MATERIAL AND METHODS From May 2015 to May 2016, 52 patients with complex anal fistula were treated with VAAFT at Yangpu Hospital of Tongji University School of Medicine, and the clinical data of these patients were reviewed. RESULTS VAAFT was performed successfully in all 52 patients. The median operation time was 55 minutes. Internal openings were identified in all cases. 50 cases were closed with sutures, and 2 were closed with staplers. Complications included perianal sepsis in 3 cases and bleeding in another 3 cases. Complete healing without recurrence was achieved in 44 patients (84.6%) after 9 months of follow-up. No fecal incontinence was observed. Furthermore, a significant improvement in Gastrointestinal Quality of Life Index (GIQLI) score was observed from preoperative baseline (mean, 85.5) to 3-month follow-up (mean, 105.4; p |
| doi_str_mv | 10.12659/MSM.904055 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5421740</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1893970215</sourcerecordid><originalsourceid>FETCH-LOGICAL-c381t-208a27579193afe49cc18f49b99b6713edf71bf7f5766a6ea8af1e9e90bc9e8c3</originalsourceid><addsrcrecordid>eNpVkUFLxDAQhYMorq6evEuOilSTtmkSD0JZXBUUBde9hrQ70UjarEkr-u8trsp6msfMx5sHD6EDSk5pWjB5dvd4dypJThjbQDu0yLMk44xsrukR2o3xlZBUFIRto1EqclYIynaQndsF-KSM0cYOFrhstcPTQfdO41kA3TXQdvhoXpbT2TE2PuCJb5YOPv6h57jEDwGcbWyrwye-fNeu1531LbYtnrwM2z20ZbSLsP8zx-hpejmbXCe391c3k_I2qTNBuyQlQqeccUllpg3ksq6pMLmspKwKTjNYGE4rww3jRaEL0EIbChIkqWoJos7G6GLlu-yrBhb1ED9op5bBNkMy5bVV_y-tfVHP_l2xPKU8J4PB0Y9B8G89xE41NtbgnG7B91FRITPJSUrZgJ6s0Dr4GAOYvzeUqO9y1FCOWpUz0Ifryf7Y3zayL9xcitE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1893970215</pqid></control><display><type>article</type><title>Video-Assisted Anal Fistula Treatment (VAAFT) for Complex Anal Fistula: A Preliminary Evaluation in China</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Jiang, Hui-Hong ; Liu, Hai-Long ; Li, Zhen ; Xiao, Yi-Hua ; Li, A-Jian ; Chang, Yi ; Zhang, Yong ; Lv, Liang ; Lin, Mou-Bin</creator><creatorcontrib>Jiang, Hui-Hong ; Liu, Hai-Long ; Li, Zhen ; Xiao, Yi-Hua ; Li, A-Jian ; Chang, Yi ; Zhang, Yong ; Lv, Liang ; Lin, Mou-Bin</creatorcontrib><description>BACKGROUND Although many attempts have been made to advance the treatment of complex anal fistula, it continues to be a difficult surgical problem. This study aimed to describe the novel technique of video-assisted anal fistula treatment (VAAFT) and our preliminary experiences using VAAFT with patients with complex anal fistula. MATERIAL AND METHODS From May 2015 to May 2016, 52 patients with complex anal fistula were treated with VAAFT at Yangpu Hospital of Tongji University School of Medicine, and the clinical data of these patients were reviewed. RESULTS VAAFT was performed successfully in all 52 patients. The median operation time was 55 minutes. Internal openings were identified in all cases. 50 cases were closed with sutures, and 2 were closed with staplers. Complications included perianal sepsis in 3 cases and bleeding in another 3 cases. Complete healing without recurrence was achieved in 44 patients (84.6%) after 9 months of follow-up. No fecal incontinence was observed. Furthermore, a significant improvement in Gastrointestinal Quality of Life Index (GIQLI) score was observed from preoperative baseline (mean, 85.5) to 3-month follow-up (mean, 105.4; p<0.001), and this increase was maintained at 9-months follow-up (mean, 109.6; p<0.001). CONCLUSIONS VAAFT is a safe and minimally invasive technique for treating complex anal fistula with preservation of anal sphincter function.</description><identifier>ISSN: 1643-3750</identifier><identifier>ISSN: 1234-1010</identifier><identifier>EISSN: 1643-3750</identifier><identifier>DOI: 10.12659/MSM.904055</identifier><identifier>PMID: 28456815</identifier><language>eng</language><publisher>United States: International Scientific Literature, Inc</publisher><subject>Adult ; Aged ; Anal Canal - surgery ; China ; Clinical Research ; Female ; Humans ; Male ; Middle Aged ; Operative Time ; Quality of Life ; Rectal Fistula - surgery ; Rectal Fistula - therapy ; Recurrence ; Treatment Outcome ; Video-Assisted Surgery - methods ; Wound Healing</subject><ispartof>Medical science monitor, 2017-04, Vol.23, p.2065-2071</ispartof><rights>Med Sci Monit, 2017 2017</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-208a27579193afe49cc18f49b99b6713edf71bf7f5766a6ea8af1e9e90bc9e8c3</citedby><cites>FETCH-LOGICAL-c381t-208a27579193afe49cc18f49b99b6713edf71bf7f5766a6ea8af1e9e90bc9e8c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5421740/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5421740/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28456815$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Hui-Hong</creatorcontrib><creatorcontrib>Liu, Hai-Long</creatorcontrib><creatorcontrib>Li, Zhen</creatorcontrib><creatorcontrib>Xiao, Yi-Hua</creatorcontrib><creatorcontrib>Li, A-Jian</creatorcontrib><creatorcontrib>Chang, Yi</creatorcontrib><creatorcontrib>Zhang, Yong</creatorcontrib><creatorcontrib>Lv, Liang</creatorcontrib><creatorcontrib>Lin, Mou-Bin</creatorcontrib><title>Video-Assisted Anal Fistula Treatment (VAAFT) for Complex Anal Fistula: A Preliminary Evaluation in China</title><title>Medical science monitor</title><addtitle>Med Sci Monit</addtitle><description>BACKGROUND Although many attempts have been made to advance the treatment of complex anal fistula, it continues to be a difficult surgical problem. This study aimed to describe the novel technique of video-assisted anal fistula treatment (VAAFT) and our preliminary experiences using VAAFT with patients with complex anal fistula. MATERIAL AND METHODS From May 2015 to May 2016, 52 patients with complex anal fistula were treated with VAAFT at Yangpu Hospital of Tongji University School of Medicine, and the clinical data of these patients were reviewed. RESULTS VAAFT was performed successfully in all 52 patients. The median operation time was 55 minutes. Internal openings were identified in all cases. 50 cases were closed with sutures, and 2 were closed with staplers. Complications included perianal sepsis in 3 cases and bleeding in another 3 cases. Complete healing without recurrence was achieved in 44 patients (84.6%) after 9 months of follow-up. No fecal incontinence was observed. Furthermore, a significant improvement in Gastrointestinal Quality of Life Index (GIQLI) score was observed from preoperative baseline (mean, 85.5) to 3-month follow-up (mean, 105.4; p<0.001), and this increase was maintained at 9-months follow-up (mean, 109.6; p<0.001). CONCLUSIONS VAAFT is a safe and minimally invasive technique for treating complex anal fistula with preservation of anal sphincter function.</description><subject>Adult</subject><subject>Aged</subject><subject>Anal Canal - surgery</subject><subject>China</subject><subject>Clinical Research</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Quality of Life</subject><subject>Rectal Fistula - surgery</subject><subject>Rectal Fistula - therapy</subject><subject>Recurrence</subject><subject>Treatment Outcome</subject><subject>Video-Assisted Surgery - methods</subject><subject>Wound Healing</subject><issn>1643-3750</issn><issn>1234-1010</issn><issn>1643-3750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkUFLxDAQhYMorq6evEuOilSTtmkSD0JZXBUUBde9hrQ70UjarEkr-u8trsp6msfMx5sHD6EDSk5pWjB5dvd4dypJThjbQDu0yLMk44xsrukR2o3xlZBUFIRto1EqclYIynaQndsF-KSM0cYOFrhstcPTQfdO41kA3TXQdvhoXpbT2TE2PuCJb5YOPv6h57jEDwGcbWyrwye-fNeu1531LbYtnrwM2z20ZbSLsP8zx-hpejmbXCe391c3k_I2qTNBuyQlQqeccUllpg3ksq6pMLmspKwKTjNYGE4rww3jRaEL0EIbChIkqWoJos7G6GLlu-yrBhb1ED9op5bBNkMy5bVV_y-tfVHP_l2xPKU8J4PB0Y9B8G89xE41NtbgnG7B91FRITPJSUrZgJ6s0Dr4GAOYvzeUqO9y1FCOWpUz0Ifryf7Y3zayL9xcitE</recordid><startdate>20170430</startdate><enddate>20170430</enddate><creator>Jiang, Hui-Hong</creator><creator>Liu, Hai-Long</creator><creator>Li, Zhen</creator><creator>Xiao, Yi-Hua</creator><creator>Li, A-Jian</creator><creator>Chang, Yi</creator><creator>Zhang, Yong</creator><creator>Lv, Liang</creator><creator>Lin, Mou-Bin</creator><general>International Scientific Literature, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170430</creationdate><title>Video-Assisted Anal Fistula Treatment (VAAFT) for Complex Anal Fistula: A Preliminary Evaluation in China</title><author>Jiang, Hui-Hong ; Liu, Hai-Long ; Li, Zhen ; Xiao, Yi-Hua ; Li, A-Jian ; Chang, Yi ; Zhang, Yong ; Lv, Liang ; Lin, Mou-Bin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-208a27579193afe49cc18f49b99b6713edf71bf7f5766a6ea8af1e9e90bc9e8c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anal Canal - surgery</topic><topic>China</topic><topic>Clinical Research</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Quality of Life</topic><topic>Rectal Fistula - surgery</topic><topic>Rectal Fistula - therapy</topic><topic>Recurrence</topic><topic>Treatment Outcome</topic><topic>Video-Assisted Surgery - methods</topic><topic>Wound Healing</topic><toplevel>online_resources</toplevel><creatorcontrib>Jiang, Hui-Hong</creatorcontrib><creatorcontrib>Liu, Hai-Long</creatorcontrib><creatorcontrib>Li, Zhen</creatorcontrib><creatorcontrib>Xiao, Yi-Hua</creatorcontrib><creatorcontrib>Li, A-Jian</creatorcontrib><creatorcontrib>Chang, Yi</creatorcontrib><creatorcontrib>Zhang, Yong</creatorcontrib><creatorcontrib>Lv, Liang</creatorcontrib><creatorcontrib>Lin, Mou-Bin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medical science monitor</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jiang, Hui-Hong</au><au>Liu, Hai-Long</au><au>Li, Zhen</au><au>Xiao, Yi-Hua</au><au>Li, A-Jian</au><au>Chang, Yi</au><au>Zhang, Yong</au><au>Lv, Liang</au><au>Lin, Mou-Bin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Video-Assisted Anal Fistula Treatment (VAAFT) for Complex Anal Fistula: A Preliminary Evaluation in China</atitle><jtitle>Medical science monitor</jtitle><addtitle>Med Sci Monit</addtitle><date>2017-04-30</date><risdate>2017</risdate><volume>23</volume><spage>2065</spage><epage>2071</epage><pages>2065-2071</pages><issn>1643-3750</issn><issn>1234-1010</issn><eissn>1643-3750</eissn><abstract>BACKGROUND Although many attempts have been made to advance the treatment of complex anal fistula, it continues to be a difficult surgical problem. This study aimed to describe the novel technique of video-assisted anal fistula treatment (VAAFT) and our preliminary experiences using VAAFT with patients with complex anal fistula. MATERIAL AND METHODS From May 2015 to May 2016, 52 patients with complex anal fistula were treated with VAAFT at Yangpu Hospital of Tongji University School of Medicine, and the clinical data of these patients were reviewed. RESULTS VAAFT was performed successfully in all 52 patients. The median operation time was 55 minutes. Internal openings were identified in all cases. 50 cases were closed with sutures, and 2 were closed with staplers. Complications included perianal sepsis in 3 cases and bleeding in another 3 cases. Complete healing without recurrence was achieved in 44 patients (84.6%) after 9 months of follow-up. No fecal incontinence was observed. Furthermore, a significant improvement in Gastrointestinal Quality of Life Index (GIQLI) score was observed from preoperative baseline (mean, 85.5) to 3-month follow-up (mean, 105.4; p<0.001), and this increase was maintained at 9-months follow-up (mean, 109.6; p<0.001). CONCLUSIONS VAAFT is a safe and minimally invasive technique for treating complex anal fistula with preservation of anal sphincter function.</abstract><cop>United States</cop><pub>International Scientific Literature, Inc</pub><pmid>28456815</pmid><doi>10.12659/MSM.904055</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1643-3750 |
| ispartof | Medical science monitor, 2017-04, Vol.23, p.2065-2071 |
| issn | 1643-3750 1234-1010 1643-3750 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5421740 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Adult Aged Anal Canal - surgery China Clinical Research Female Humans Male Middle Aged Operative Time Quality of Life Rectal Fistula - surgery Rectal Fistula - therapy Recurrence Treatment Outcome Video-Assisted Surgery - methods Wound Healing |
| title | Video-Assisted Anal Fistula Treatment (VAAFT) for Complex Anal Fistula: A Preliminary Evaluation in China |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T08%3A07%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Video-Assisted%20Anal%20Fistula%20Treatment%20(VAAFT)%20for%20Complex%20Anal%20Fistula:%20A%20Preliminary%20Evaluation%20in%20China&rft.jtitle=Medical%20science%20monitor&rft.au=Jiang,%20Hui-Hong&rft.date=2017-04-30&rft.volume=23&rft.spage=2065&rft.epage=2071&rft.pages=2065-2071&rft.issn=1643-3750&rft.eissn=1643-3750&rft_id=info:doi/10.12659/MSM.904055&rft_dat=%3Cproquest_pubme%3E1893970215%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1893970215&rft_id=info:pmid/28456815&rfr_iscdi=true |