Perianal fistula: retrospective study of surgical treatment of 241 cases
Acta cir. bras
;
13(2): 106-9, Apr.-Jun. 1998. graf
Article
in English
| LILACS
| ID: lil-213394
RESUMO
Perianal fistula, usually has a criptoglandular etiology, developing from a perianal abscess and communicating the anal mucosa with the perianal skin. The aim of this paper is to study retrospectively 241 cases of perianal fistula (172 men and 69 women; 2,5:1) aging from 7 and 80 years old (average: 37,4 years), operated on at the Hospital das Clínicas - UFMG, from 1977 to 1996. The surgical techniques and post-operative outcome have been analysed. Perianal abscesses with spontaneous drainage were the predominant etiology (132 patients; 54,8 per cent). Eight percent were submitted to fistulectomy as the first surgical treatment. Among early complications (78; 32,4 per cent), local pain was the most frequent (60; 24,9 per cent). Among the late complications (136; 56,4 per cent) fistula recurrence (101; 41,9 per cent/was the most frequent. There were 141 reoperations in 80 patients. Fistulectomy was the predominant surgical technique employed for the treatment (101; 71,6 per cent). The average hospitalization time was 6,3 days until 1990 and 1,5 day from 1991 to 1996, after the advent of day-surgery beds in HC-UFMG. The surgical treatment of perianal fístula has a significant rate of post-operative complications and a high recurrence rate, in spite of the short stay in hospital.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Anus Diseases
/
Rectal Fistula
/
Abscess
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Aged80
/
Child
/
Female
/
Humans
/
Male
Language:
English
Journal:
Acta cir. bras
Journal subject:
General Surgery
/
Procedimentos Cir£rgicos Operat¢rios
Year:
1998
Type:
Article
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