Experience with staged mucosal advancement anoplasty for high trans-sphincteric fistula-in-ano.
Successful eradication of a complicated, recurrent fistula-in-ano with maintenance of anal continence, requires a specialized surgical approach. Mucosal advancement anoplasty is associated with acceptably low rates of recurrence and continence and is reported in this small series of 11 patients where it followed preliminary deployment of a loose guiding and drainage seton. The technique was also supplemented by internal anal sphincter repair at the time of the advancement anoplasty. Success was achieved in nine cases without any effect on reported continence.
Zbar
A P
AP
School of Clinical Medicine and Research, Queen Elizabeth Hospital, The University of the West Indies, Martindales Road, Barbados. apzbar@yahoo.com
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000502:physiology / Q000601:surgery*; D013505:Digestive System Surgical Procedures; D005242:Fecal Incontinence; D005260:Female; D005401:Fissure in Ano / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009092:Mucous Membrane / Q000601:surgery*; D012003:Rectal Fistula / Q000601:surgery*; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome