[Functional results following fistulectomy with primary muscle suture in high anal fistula. A prospective clinical and manometric study].
A prospective study was carried out on 46 patients with anal fistula to evaluate clinical aspects and anal manometry. In 26 patients a high fistula was diagnosed (type II, n = 20; type III, n = 6). In those cases the sphincter-saving technique with primarily muscle suturing was used. 70% (n = 14) of type II and 100% (n = 6) of type III had been operated on before. Out of 26 five patients (19.2%) with high anal fistula developed incontinence in the case of watery stools postoperatively, 4 of those only once in a while. There was no complaint about incontinence for solid stool at all.
Lux
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Coloproktologische Abteilung, St. Joseph-Hospitals Duisburg-Laar.
Athanasiadis
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S
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery; D005242:Fecal Incontinence / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis*; D011446:Prospective Studies; D012003:Rectal Fistula / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D013536:Suture Techniques