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Transanal Advancement Flap Repair: The Current Gold Standard for Cryptoglandular Transsphincteric Perianal Fistulas
- Source :
- Turkish Journal of Colorectal Disease, Vol 29, Iss 3, Pp 104-110 (2019)
- Publication Year :
- 2019
- Publisher :
- Galenos Yayincilik, 2019.
-
Abstract
- Transanal advancement flap repair has been considered as a treatment modality for transsphincteric perianal fistulas for over a century. Several systematic reviews have shown that this technique is effective in 80 percent of cases with a minimal and predictable effect on continence. The use of thicker flaps has been shown to increase the rate of recovery, but also to increase the rate of continence impairment. Unfortunately, there are few modifiable factors that seem to affect recovery. These include smoking cessation and weight loss. There is no evidence to support the use of diverting stomas. The placement of setons as part of a standardized treatment regimen is not supported by the literature. It is unadvisable to combine flap repair with other techniques.
- Subjects :
- medicine.medical_specialty
lcsh:Internal medicine
business.industry
lcsh:R
lcsh:Medicine
Gold standard (test)
transanal advancement flap
transsfincteric
Flap repair
Surgery
Endorectal
Medicine
fistula
lcsh:Diseases of the digestive system. Gastroenterology
fistula in ano
Current (fluid)
lcsh:RC799-869
business
lcsh:RC31-1245
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Turkish Journal of Colorectal Disease, Vol 29, Iss 3, Pp 104-110 (2019)
- Accession number :
- edsair.doi.dedup.....c1d68e79bcdd98cfb68b8235ab91a697