A Novel Surgical Technique for Anal Fistula Surgery Designed to Preserve the Anal Sphincter Function and Anoderm

Objectives: We reviewed surgical outcomes after introducing a novel surgical technique for anal fistula surgery designed to preserve anal sphincter function and the anoderm. Methods: We studied 200 male patients who underwent a functional preservative operative technique (FPOT group) for anal fistul...
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Autor*in:	Yasuhiro Shimojima [verfasserIn] Makoto Matsushima [verfasserIn] Sayuri Matsushima [verfasserIn] Yotaro Watanabe [verfasserIn] Ayumi Beniya [verfasserIn] Yoshioki Hikosaka [verfasserIn] Remi Katori [verfasserIn] Naomi Matsumura [verfasserIn] Yoichi Kono [verfasserIn] Kosuke Okamoto [verfasserIn] Masahiko Fukano [verfasserIn] Joji Kuromizu [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	fpot anal fistulas fistulectomy anal sphincter function

Übergeordnetes Werk:	In: Journal of the Anus, Rectum and Colon - The Japan Society of Coloproctology, 2019, 5(2021), 1, Seite 25-33
Übergeordnetes Werk:	volume:5 ; year:2021 ; number:1 ; pages:25-33

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.23922/jarc.2020-032

Katalog-ID:	DOAJ053494407

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520			\|a Objectives: We reviewed surgical outcomes after introducing a novel surgical technique for anal fistula surgery designed to preserve anal sphincter function and the anoderm. Methods: We studied 200 male patients who underwent a functional preservative operative technique (FPOT group) for anal fistulas and 200 patients who underwent resection of trans-sphincteric anal fistulas (fistulectomy group) between February 2014 and September 2015. We compared complications, such as those affecting anal sphincter function, recurrence, and incontinence. Results: Fistulas recurred in three (1.5%) patients in the FPOT group and two (1%) patients in the fistulectomy group. This difference was not significant. Other complications included gas leakage and other forms of incontinence in 1 (0.5%) and 14 (7%) patients in the FPOT and fistulectomy groups, respectively. Anal function assessment demonstrated that the FPOT was significantly better at preserving function than fistulectomy in all patients. Conclusions: There were no significant differences between the FPOT and fistulectomy in terms of recurrence or complication rates. Also, because there was no decrease in postoperative anal function, we concluded that the FPOT is an effective preservative surgical technique for treating trans-sphincteric anal fistulas.
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spelling	10.23922/jarc.2020-032 doi (DE-627)DOAJ053494407 (DE-599)DOAJcd9e1a7ccac4499eb9c19267ccbf484a DE-627 ger DE-627 rakwb eng RC799-869 Yasuhiro Shimojima verfasserin aut A Novel Surgical Technique for Anal Fistula Surgery Designed to Preserve the Anal Sphincter Function and Anoderm 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: We reviewed surgical outcomes after introducing a novel surgical technique for anal fistula surgery designed to preserve anal sphincter function and the anoderm. Methods: We studied 200 male patients who underwent a functional preservative operative technique (FPOT group) for anal fistulas and 200 patients who underwent resection of trans-sphincteric anal fistulas (fistulectomy group) between February 2014 and September 2015. We compared complications, such as those affecting anal sphincter function, recurrence, and incontinence. Results: Fistulas recurred in three (1.5%) patients in the FPOT group and two (1%) patients in the fistulectomy group. This difference was not significant. Other complications included gas leakage and other forms of incontinence in 1 (0.5%) and 14 (7%) patients in the FPOT and fistulectomy groups, respectively. Anal function assessment demonstrated that the FPOT was significantly better at preserving function than fistulectomy in all patients. Conclusions: There were no significant differences between the FPOT and fistulectomy in terms of recurrence or complication rates. Also, because there was no decrease in postoperative anal function, we concluded that the FPOT is an effective preservative surgical technique for treating trans-sphincteric anal fistulas. fpot anal fistulas fistulectomy anal sphincter function Diseases of the digestive system. Gastroenterology Makoto Matsushima verfasserin aut Sayuri Matsushima verfasserin aut Yotaro Watanabe verfasserin aut Ayumi Beniya verfasserin aut Yoshioki Hikosaka verfasserin aut Remi Katori verfasserin aut Naomi Matsumura verfasserin aut Yoichi Kono verfasserin aut Kosuke Okamoto verfasserin aut Masahiko Fukano verfasserin aut Joji Kuromizu verfasserin aut In Journal of the Anus, Rectum and Colon The Japan Society of Coloproctology, 2019 5(2021), 1, Seite 25-33 (DE-627)1698599595 24323853 nnns volume:5 year:2021 number:1 pages:25-33 https://doi.org/10.23922/jarc.2020-032 kostenfrei https://doaj.org/article/cd9e1a7ccac4499eb9c19267ccbf484a kostenfrei https://www.jstage.jst.go.jp/article/jarc/5/1/5_2020-032/_pdf/-char/en kostenfrei https://doaj.org/toc/2432-3853 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2021 1 25-33
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callnumber-first	R - Medicine
author	Yasuhiro Shimojima
spellingShingle	Yasuhiro Shimojima misc RC799-869 misc fpot misc anal fistulas misc fistulectomy misc anal sphincter function misc Diseases of the digestive system. Gastroenterology A Novel Surgical Technique for Anal Fistula Surgery Designed to Preserve the Anal Sphincter Function and Anoderm
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topic_title	RC799-869 A Novel Surgical Technique for Anal Fistula Surgery Designed to Preserve the Anal Sphincter Function and Anoderm fpot anal fistulas fistulectomy anal sphincter function
topic	misc RC799-869 misc fpot misc anal fistulas misc fistulectomy misc anal sphincter function misc Diseases of the digestive system. Gastroenterology
topic_unstemmed	misc RC799-869 misc fpot misc anal fistulas misc fistulectomy misc anal sphincter function misc Diseases of the digestive system. Gastroenterology
topic_browse	misc RC799-869 misc fpot misc anal fistulas misc fistulectomy misc anal sphincter function misc Diseases of the digestive system. Gastroenterology
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title	A Novel Surgical Technique for Anal Fistula Surgery Designed to Preserve the Anal Sphincter Function and Anoderm
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title_full	A Novel Surgical Technique for Anal Fistula Surgery Designed to Preserve the Anal Sphincter Function and Anoderm
author_sort	Yasuhiro Shimojima
journal	Journal of the Anus, Rectum and Colon
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author_browse	Yasuhiro Shimojima Makoto Matsushima Sayuri Matsushima Yotaro Watanabe Ayumi Beniya Yoshioki Hikosaka Remi Katori Naomi Matsumura Yoichi Kono Kosuke Okamoto Masahiko Fukano Joji Kuromizu
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author-letter	Yasuhiro Shimojima
doi_str_mv	10.23922/jarc.2020-032
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title_sort	novel surgical technique for anal fistula surgery designed to preserve the anal sphincter function and anoderm
callnumber	RC799-869
title_auth	A Novel Surgical Technique for Anal Fistula Surgery Designed to Preserve the Anal Sphincter Function and Anoderm
abstract	Objectives: We reviewed surgical outcomes after introducing a novel surgical technique for anal fistula surgery designed to preserve anal sphincter function and the anoderm. Methods: We studied 200 male patients who underwent a functional preservative operative technique (FPOT group) for anal fistulas and 200 patients who underwent resection of trans-sphincteric anal fistulas (fistulectomy group) between February 2014 and September 2015. We compared complications, such as those affecting anal sphincter function, recurrence, and incontinence. Results: Fistulas recurred in three (1.5%) patients in the FPOT group and two (1%) patients in the fistulectomy group. This difference was not significant. Other complications included gas leakage and other forms of incontinence in 1 (0.5%) and 14 (7%) patients in the FPOT and fistulectomy groups, respectively. Anal function assessment demonstrated that the FPOT was significantly better at preserving function than fistulectomy in all patients. Conclusions: There were no significant differences between the FPOT and fistulectomy in terms of recurrence or complication rates. Also, because there was no decrease in postoperative anal function, we concluded that the FPOT is an effective preservative surgical technique for treating trans-sphincteric anal fistulas.
abstractGer	Objectives: We reviewed surgical outcomes after introducing a novel surgical technique for anal fistula surgery designed to preserve anal sphincter function and the anoderm. Methods: We studied 200 male patients who underwent a functional preservative operative technique (FPOT group) for anal fistulas and 200 patients who underwent resection of trans-sphincteric anal fistulas (fistulectomy group) between February 2014 and September 2015. We compared complications, such as those affecting anal sphincter function, recurrence, and incontinence. Results: Fistulas recurred in three (1.5%) patients in the FPOT group and two (1%) patients in the fistulectomy group. This difference was not significant. Other complications included gas leakage and other forms of incontinence in 1 (0.5%) and 14 (7%) patients in the FPOT and fistulectomy groups, respectively. Anal function assessment demonstrated that the FPOT was significantly better at preserving function than fistulectomy in all patients. Conclusions: There were no significant differences between the FPOT and fistulectomy in terms of recurrence or complication rates. Also, because there was no decrease in postoperative anal function, we concluded that the FPOT is an effective preservative surgical technique for treating trans-sphincteric anal fistulas.
abstract_unstemmed	Objectives: We reviewed surgical outcomes after introducing a novel surgical technique for anal fistula surgery designed to preserve anal sphincter function and the anoderm. Methods: We studied 200 male patients who underwent a functional preservative operative technique (FPOT group) for anal fistulas and 200 patients who underwent resection of trans-sphincteric anal fistulas (fistulectomy group) between February 2014 and September 2015. We compared complications, such as those affecting anal sphincter function, recurrence, and incontinence. Results: Fistulas recurred in three (1.5%) patients in the FPOT group and two (1%) patients in the fistulectomy group. This difference was not significant. Other complications included gas leakage and other forms of incontinence in 1 (0.5%) and 14 (7%) patients in the FPOT and fistulectomy groups, respectively. Anal function assessment demonstrated that the FPOT was significantly better at preserving function than fistulectomy in all patients. Conclusions: There were no significant differences between the FPOT and fistulectomy in terms of recurrence or complication rates. Also, because there was no decrease in postoperative anal function, we concluded that the FPOT is an effective preservative surgical technique for treating trans-sphincteric anal fistulas.
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title_short	A Novel Surgical Technique for Anal Fistula Surgery Designed to Preserve the Anal Sphincter Function and Anoderm
url	https://doi.org/10.23922/jarc.2020-032 https://doaj.org/article/cd9e1a7ccac4499eb9c19267ccbf484a https://www.jstage.jst.go.jp/article/jarc/5/1/5_2020-032/_pdf/-char/en https://doaj.org/toc/2432-3853
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author2	Makoto Matsushima Sayuri Matsushima Yotaro Watanabe Ayumi Beniya Yoshioki Hikosaka Remi Katori Naomi Matsumura Yoichi Kono Kosuke Okamoto Masahiko Fukano Joji Kuromizu
author2Str	Makoto Matsushima Sayuri Matsushima Yotaro Watanabe Ayumi Beniya Yoshioki Hikosaka Remi Katori Naomi Matsumura Yoichi Kono Kosuke Okamoto Masahiko Fukano Joji Kuromizu
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up_date	2024-07-03T17:58:06.054Z
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Methods: We studied 200 male patients who underwent a functional preservative operative technique (FPOT group) for anal fistulas and 200 patients who underwent resection of trans-sphincteric anal fistulas (fistulectomy group) between February 2014 and September 2015. We compared complications, such as those affecting anal sphincter function, recurrence, and incontinence. Results: Fistulas recurred in three (1.5%) patients in the FPOT group and two (1%) patients in the fistulectomy group. This difference was not significant. Other complications included gas leakage and other forms of incontinence in 1 (0.5%) and 14 (7%) patients in the FPOT and fistulectomy groups, respectively. Anal function assessment demonstrated that the FPOT was significantly better at preserving function than fistulectomy in all patients. Conclusions: There were no significant differences between the FPOT and fistulectomy in terms of recurrence or complication rates. 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A Novel Surgical Technique for Anal Fistula Surgery Designed to Preserve the Anal Sphincter Function and Anoderm

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