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Diseases of the Volume Number CozoN R.crvM JULY 1996 ORIGINAL CONTRIBUTIONS Anal Fistula Surgery Factors Associated with Recurrence and Incontinence Julio Garcia-Aguilar, M.D., Ph.D., Carlos Belmonte, M.D., W. Douglas Wong, M.D., Stanley M. Goldberg, M.D., Robert D. Madoff, M.D. From the Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota Medical School, St. Paul, Minnesota PURPOSE: This study was undertaken to assess results of he goal of surgical treatment of fistula-in-ano is surgery for fistula-in-ano and identify risk factors for fistula T the permanent eradication of the suppurative recurrence and impaired continence. METHODS: We re- process without compromising anal continence. viewed the records of 624 patients who underwent surgery for fistula-in-ano between 1988 and 1992. Follow-up was by There are few controlled studies on the surgical man- mailed questionnaire, with 375 patients (60 percent) re- agement of fistula-in-ano; therefore, factors associ- sponding. Mean follow-up was 29 months. Fistulas were ated with recurrence and incontinence have not been intersphincteric in 180 patients, transsphincteric in 108, critically assessed. Furthermore, results from most ret- suprasphincteric in 6, extrasphincteric in 6, and unclassi- fied in 75. Procedures included fistulotomy and marsupial- rospective studies are usually limited by short follow- ization
Diseases of the Colon & Rectum – Wolters Kluwer Health
Published: Jul 1, 1996
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