Rectal advancement flaps for the treatment of transphincteric perianal fistulas: a three-dimensional endoanal ultrasound and quality of life assessment

• Marina Garcés Albir ^[1] ; Stephanie Anne García-Botello ^[1] ; Vicente Pla-Martí ^[1] ; José Martín-Arévalo ^[1] ; David Moro-Valdezate ^[1] ; Alejandro Espi ^[1] ; Joaquín Ortega ^[1]
  1. [1] Hospital Clínico Universitario. Valencia, Spain
• Localización: Revista Española de Enfermedades Digestivas, ISSN-e 2340-4167, ISSN 1130-0108, Vol. 112, Nº. 11, 2020, págs. 860-863
• Idioma: inglés
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• Resumen

  • This study quantifies the damage to the internal anal sphincter (IAS) after a rectal mucosal advancement flap for a high transphincteric fistula in 16 patients using 3D-endoanal ultrasound. This was correlated with postoperative incontinence and quality of life scores. The median length of involved IAS preoperatively was 50 % (20-100) and 93.72 % for EAS (47.4-100 %). IAS division did not influence continence (p > 0.05). Continence deteriorated between the pre-, postoperative (p = 0.014) and six-month follow-up (p = 0.005), with no significant differences after one year (p > 0.05). The FIQOL score and SF-36 deteriorated initially, with recovery in all domains except for mental health after one year. Three fistulas recurred (18.75 %).