Endorectal Mucosal Advancement Flap for Treatment of Complex Anal Fistula

Authors

  • Paisit Siriwittayakorn Department of Surgery, Faculty of Medicine, Chiang Mai University. Chiang Mai 50200, Thailand
  • Somcharoen Saeteng Department of Surgery, Faculty of Medicine, Chiang Mai University. Chiang Mai 50200, Thailand
  • Narain Chotirosniramit Department of Surgery, Faculty of Medicine, Chiang Mai University. Chiang Mai 50200, Thailand

Keywords:

complex anal fistula, treatment, mucosal advancement flap

Abstract

               Sixteen patients who had complex anal fistula were treated in both private and government hospitals in Chiang Mai from 1992 to 1996. They comprised 12 men and 4 women. The treatment consisted of enlarging the external opening for well drainage, curetting the tract, and separating the fistulous tract from its communication with the anal canal by using the endorectal mucosal advancement flap. Nine of 16 patients (56%) produced satisfactory results. Among the failures, the longest period of time before symptom recurrence was 8 months. The causes of failure seemed to relate to the presence of diffuse internal hemorrhoids, taut anal mucosa, and failure to remove septic tissue in the fistulous tract.

References

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Published

1999-12-30

How to Cite

1.
Siriwittayakorn P, Saeteng S, Chotirosniramit N. Endorectal Mucosal Advancement Flap for Treatment of Complex Anal Fistula. Thai J Surg [Internet]. 1999 Dec. 30 [cited 2024 Jul. 18];20(4):133-6. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/247906

Issue

Vol. 20 No. 4 (1999): October - December

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.