Gracilis muscle transposition for treatment of recurrent anovaginal, rectovaginal, rectourethral, and pouch–vaginal fistulas in patients with inflammatory bowel disease
Background The aim of this study was to evaluate the effectiveness of gracilis muscle transposition (GMT) to treat recurrent anovaginal, rectovaginal, rectourethral, and pouch–vaginal fistulas in patients with inflammatory bowel disease (IBD). Methods A retrospective study was conducted in patients...
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| Veröffentlicht in: | Techniques in coloproctology 2019-01, Vol.23 (1), p.43-52 |
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| creator | Korsun, S. Liebig-Hoerl, G. Fuerst, A. |
| description | Background
The aim of this study was to evaluate the effectiveness of gracilis muscle transposition (GMT) to treat recurrent anovaginal, rectovaginal, rectourethral, and pouch–vaginal fistulas in patients with inflammatory bowel disease (IBD).
Methods
A retrospective study was conducted in patients with IBD who had GMT performed by a single surgeon between 2000 and 2018. Follow-up data regarding healing rate, complications, additional procedures, and stoma closure rate was collected.
Results
A total of 30 women and 2 men had GMT. In all patients fistula was associated with Crohn's disease. In 1 female patient, contralateral gracilis transposition was required after a failed attempt at repair. The primary healing rate was 47% (15/32) and the definitive healing rate (healed by the time of data collection and after secondary procedures) was 71% (23/32). Additional surgical procedures due to fistula persistence or recurrence were performed on 17 patients (53%).At least 7 patients (21%) suffered complications including one wound infection with ischemia of the gracilis muscle. Stoma closure was successful in 18 of 31 cases of patients with stoma (58% of the patients).
Conclusions
GMT for the treatment of recurrent and complex anorectal fistulas in patients with IBD patient is eventually successful in almost 2/3 of patients. |
| doi_str_mv | 10.1007/s10151-018-1918-7 |
| format | Article |
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The aim of this study was to evaluate the effectiveness of gracilis muscle transposition (GMT) to treat recurrent anovaginal, rectovaginal, rectourethral, and pouch–vaginal fistulas in patients with inflammatory bowel disease (IBD).
Methods
A retrospective study was conducted in patients with IBD who had GMT performed by a single surgeon between 2000 and 2018. Follow-up data regarding healing rate, complications, additional procedures, and stoma closure rate was collected.
Results
A total of 30 women and 2 men had GMT. In all patients fistula was associated with Crohn's disease. In 1 female patient, contralateral gracilis transposition was required after a failed attempt at repair. The primary healing rate was 47% (15/32) and the definitive healing rate (healed by the time of data collection and after secondary procedures) was 71% (23/32). Additional surgical procedures due to fistula persistence or recurrence were performed on 17 patients (53%).At least 7 patients (21%) suffered complications including one wound infection with ischemia of the gracilis muscle. Stoma closure was successful in 18 of 31 cases of patients with stoma (58% of the patients).
Conclusions
GMT for the treatment of recurrent and complex anorectal fistulas in patients with IBD patient is eventually successful in almost 2/3 of patients.</description><identifier>ISSN: 1123-6337</identifier><identifier>EISSN: 1128-045X</identifier><identifier>DOI: 10.1007/s10151-018-1918-7</identifier><identifier>PMID: 30604248</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Colon ; Colorectal Surgery ; Crohn's disease ; Fistula ; Gastroenterology ; Inflammatory bowel disease ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Ostomy ; Patients ; Performance evaluation ; Proctology ; Surgery</subject><ispartof>Techniques in coloproctology, 2019-01, Vol.23 (1), p.43-52</ispartof><rights>The Author(s) 2019. corrected publication 2019</rights><rights>Techniques in Coloproctology is a copyright of Springer, (2019). All Rights Reserved.</rights><rights>Copyright Springer Nature B.V. 2019</rights><rights>The Author(s) 2019, corrected publication 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-b78d0cb7a8ca7b3ab49b60e169c41572768436ecfd70b64cd59fdcd9eaef07f83</citedby><cites>FETCH-LOGICAL-c498t-b78d0cb7a8ca7b3ab49b60e169c41572768436ecfd70b64cd59fdcd9eaef07f83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10151-018-1918-7$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10151-018-1918-7$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30604248$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Korsun, S.</creatorcontrib><creatorcontrib>Liebig-Hoerl, G.</creatorcontrib><creatorcontrib>Fuerst, A.</creatorcontrib><title>Gracilis muscle transposition for treatment of recurrent anovaginal, rectovaginal, rectourethral, and pouch–vaginal fistulas in patients with inflammatory bowel disease</title><title>Techniques in coloproctology</title><addtitle>Tech Coloproctol</addtitle><addtitle>Tech Coloproctol</addtitle><description>Background
The aim of this study was to evaluate the effectiveness of gracilis muscle transposition (GMT) to treat recurrent anovaginal, rectovaginal, rectourethral, and pouch–vaginal fistulas in patients with inflammatory bowel disease (IBD).
Methods
A retrospective study was conducted in patients with IBD who had GMT performed by a single surgeon between 2000 and 2018. Follow-up data regarding healing rate, complications, additional procedures, and stoma closure rate was collected.
Results
A total of 30 women and 2 men had GMT. In all patients fistula was associated with Crohn's disease. In 1 female patient, contralateral gracilis transposition was required after a failed attempt at repair. The primary healing rate was 47% (15/32) and the definitive healing rate (healed by the time of data collection and after secondary procedures) was 71% (23/32). Additional surgical procedures due to fistula persistence or recurrence were performed on 17 patients (53%).At least 7 patients (21%) suffered complications including one wound infection with ischemia of the gracilis muscle. Stoma closure was successful in 18 of 31 cases of patients with stoma (58% of the patients).
Conclusions
GMT for the treatment of recurrent and complex anorectal fistulas in patients with IBD patient is eventually successful in almost 2/3 of patients.</description><subject>Abdominal Surgery</subject><subject>Colon</subject><subject>Colorectal Surgery</subject><subject>Crohn's disease</subject><subject>Fistula</subject><subject>Gastroenterology</subject><subject>Inflammatory bowel disease</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Performance evaluation</subject><subject>Proctology</subject><subject>Surgery</subject><issn>1123-6337</issn><issn>1128-045X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>BENPR</sourceid><recordid>eNp9ks9uFSEUxidGY2v1AdwYEjcuOgrzB5iNSdPYatLEjSbuyBkG7qWZgZHDtOnOd_AtfCyfRMZ7rdpEN8A5_PjOAb6ieMroS0apeIWMspaVlMmSdXkQ94pDxipZ0qb9dP_nui55XYuD4hHiJaVMiJY9LA5qymlTNfKw-HYeQbvRIZkW1KMhKYLHOaBLLnhiQ8wZA2kyPpFgSTR6iXENwIcr2DgP4_GaTXeiJZq0jWsIfiBzWPT2-5eve4ZYh2kZAYnzZIbksiCSa5e2OWFHmCZIId6QPlybkQwODaB5XDywMKJ5sp-Pio9nbz6cvi0v3p-_Oz25KHXTyVT2Qg5U9wKkBtHX0Dddz6lhvNMNa0UluGxqbrQdBO15o4e2s4MeOgPGUmFlfVS83unOSz-ZQefe8j3UHN0E8UYFcOrvHe-2ahOuFOctF53IAi_2AjF8XgwmNTnUZhzBm7CgqhivKZWyWtHnd9DL_HL5hTJVrT8nm47_l2K84qKq6do321E6BsRo7G3LjKrVL2rnF5X9ola_qLX-sz_venvil0EyUO0AzFt-Y-Lv0v9W_QFtXdI1</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Korsun, S.</creator><creator>Liebig-Hoerl, G.</creator><creator>Fuerst, A.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190101</creationdate><title>Gracilis muscle transposition for treatment of recurrent anovaginal, rectovaginal, rectourethral, and pouch–vaginal fistulas in patients with inflammatory bowel disease</title><author>Korsun, S. ; Liebig-Hoerl, G. ; Fuerst, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c498t-b78d0cb7a8ca7b3ab49b60e169c41572768436ecfd70b64cd59fdcd9eaef07f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abdominal Surgery</topic><topic>Colon</topic><topic>Colorectal Surgery</topic><topic>Crohn's disease</topic><topic>Fistula</topic><topic>Gastroenterology</topic><topic>Inflammatory bowel disease</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Performance evaluation</topic><topic>Proctology</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Korsun, S.</creatorcontrib><creatorcontrib>Liebig-Hoerl, G.</creatorcontrib><creatorcontrib>Fuerst, A.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</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</collection><collection>ProQuest One Community College</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>Medical Database</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><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Techniques in coloproctology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Korsun, S.</au><au>Liebig-Hoerl, G.</au><au>Fuerst, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gracilis muscle transposition for treatment of recurrent anovaginal, rectovaginal, rectourethral, and pouch–vaginal fistulas in patients with inflammatory bowel disease</atitle><jtitle>Techniques in coloproctology</jtitle><stitle>Tech Coloproctol</stitle><addtitle>Tech Coloproctol</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>23</volume><issue>1</issue><spage>43</spage><epage>52</epage><pages>43-52</pages><issn>1123-6337</issn><eissn>1128-045X</eissn><abstract>Background
The aim of this study was to evaluate the effectiveness of gracilis muscle transposition (GMT) to treat recurrent anovaginal, rectovaginal, rectourethral, and pouch–vaginal fistulas in patients with inflammatory bowel disease (IBD).
Methods
A retrospective study was conducted in patients with IBD who had GMT performed by a single surgeon between 2000 and 2018. Follow-up data regarding healing rate, complications, additional procedures, and stoma closure rate was collected.
Results
A total of 30 women and 2 men had GMT. In all patients fistula was associated with Crohn's disease. In 1 female patient, contralateral gracilis transposition was required after a failed attempt at repair. The primary healing rate was 47% (15/32) and the definitive healing rate (healed by the time of data collection and after secondary procedures) was 71% (23/32). Additional surgical procedures due to fistula persistence or recurrence were performed on 17 patients (53%).At least 7 patients (21%) suffered complications including one wound infection with ischemia of the gracilis muscle. Stoma closure was successful in 18 of 31 cases of patients with stoma (58% of the patients).
Conclusions
GMT for the treatment of recurrent and complex anorectal fistulas in patients with IBD patient is eventually successful in almost 2/3 of patients.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>30604248</pmid><doi>10.1007/s10151-018-1918-7</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Techniques in coloproctology, 2019-01, Vol.23 (1), p.43-52 |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Colon Colorectal Surgery Crohn's disease Fistula Gastroenterology Inflammatory bowel disease Medicine Medicine & Public Health Original Original Article Ostomy Patients Performance evaluation Proctology Surgery |
| title | Gracilis muscle transposition for treatment of recurrent anovaginal, rectovaginal, rectourethral, and pouch–vaginal fistulas in patients with inflammatory bowel disease |
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