Effectiveness and Prognosis: Drainage Skin-Bridge Sparing Surgery Combined with Fistulotomy versus Fistulotomy Only in the Treatment of Anal Fistula

Abstract

Objective. This study intends to analyze the difference in the efficacy of drainage skin-bridge sparing surgery combined fistulotomy (DSCF) and fistulotomy alone. Methods. 125 patients with anal fistula were enrolled as study subjects and randomly divided into control group (CG) and observation group (OG) by double-blind lottery. The CG received drainage skin-bridge sparing surgery with fistulotomy and the OG received fistulotomy only. Results. The VAS scores of the trauma in the OG were lower than those in the CG on 1st day of surgery and 7 days after surgery ( P < 0.05 ). The length of hospital stay and time to wound healing were shorter in the OG than in the CG ( P < 0.05 ). The incidence of postoperative bleeding in the OG was 9.52%, which was lower than 22.58% in the CG ( P < 0.05 ). The rectal examination scores were lower in the OG than in the CG at 3 and 5 days postoperatively ( P < 0.05 ). The Wexner scores of solid incontinence (0 to 4), liquid incontinence (0 to 4), gas incontinence (0 to 4), pad wearing (0 to 4), and lifestyle alteration (0 to 4) in the OG were lower than those of the CG at 5 days postoperatively ( P < 0.05 ). Voiding function scores were lower in the OG than in the CG at 2 and 3 days postoperatively ( P < 0.05 ). Conclusions. The efficacy of drainage skin-bridge sparing surgery combined fistulotomy is better than that of fistulotomy alone, which can accelerate postoperative healing, enhance urinary function, reduce postoperative bleeding, and improve anal function.

Research Progress on the Current Treatment Status of Anal Sinusitis

“…In a clinical study by Yang Wenzhi et al, the treatment group (180 cases) underwent anorectal sinus incision and drainage guided by three-dimensional transrectal ultrasound, while the control group received compound nystatin suppositories for local treatment. The results showed a cure rate of 94.44% and an efficacy rate of 100% in the treatment group, compared to a cure rate of 25% and an efficacy rate of 80% in the control group [7]. The results were similar to those of the study led by Xu Zheng et al…”

Effects of loose combined cutting seton surgery on wound healing and pain in patients with high anal fistula: A meta‐analysis

“…After initial screening of titles and abstracts, 329 articles were excluded, leaving 77. Following full-text reviews, 61 articles were further excluded, resulting in 16 studies, 5,[12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] all in Chinese, with a total sample size of 1124 patients, including 567 in the observation group and 557 in the control group. The characteristics of the included studies and patients are shown in Table 1.…”

Retracted: Effectiveness and Prognosis: Drainage Skin‐Bridge Sparing Surgery Combined with Fistulotomy versus Fistulotomy Only in the Treatment of Anal Fistula

“…Journal of Healthcare Engineering has retracted the article titled “Effectiveness and Prognosis: Drainage Skin-Bridge Sparing Surgery Combined with Fistulotomy vs. Fistulotomy Only in the Treatment of Anal Fistula” [ 1 ] due to concerns that the peer review process has been compromised.…”