Document Detail

Long-term outcome of endorectal advancement flap for complex anorectal fistulae.
MedLine Citation:
PMID:  18942614     Owner:  NLM     Status:  MEDLINE    
The purpose of this study was to determine the long-term outcome of endorectal advancement flap (ERF) for complex anorectal fistulae. A total of 38 ERF were performed in 36 patients (2003-2007). Mean age was 45 years. The most common fistula type was transsphincteric. Eighty-one per cent of patients had prior surgical interventions. Primary closure rate was 83 per cent. Of the six initial failures, four were noted in patients operated for recurrent rectovaginal fistula. Postoperative complications occurred in seven patients (19%). During a mean follow-up of 27 months, recurrent disease was noted in five patients (14%). All recurrences were noted in patients with left sided fistulae. At last follow-up, all patients had healed their fistula except for two. We conclude that ERF closed most complex anorectal fistulae with an acceptable complication rate and low recurrence rate. Recurrent rectovaginal fistula was associated with a lower closure rate.
Maher A Abbas; Rafael Lemus-Rangel; Ali Hamadani
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  74     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-23     Completed Date:  2008-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  921-4     Citation Subset:  IM    
Section of Colon and Rectal Surgery, Department of Surgery, Kaiser Permanente, Los Angeles, California 90027, USA.
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MeSH Terms
Endoscopy / methods*
Equipment Design
Follow-Up Studies
Middle Aged
Rectal Fistula / surgery*
Retrospective Studies
Surgical Flaps*
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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