Anatomical characteristics of anal fistula evaluated by three-dimensional anorectal ultrasonography: is there a correlation with Goodsall's theory?
Purpose: We aimed to correlate the course of the anal fistula tract (T), location of the external opening (EO) and internal opening (IO) in anterior (A) and posterior (P) circumference using 3D-US according to Goodsall's rule. Methods: 151 patients with primary cryptoglandular Transsphincteric...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2015-04-01
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| Series: | Journal of Coloproctology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2237936315000325 |
| _version_ | 1818652887088103424 |
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| author | Sthela Maria Murad-Regadas Iris Daiana Dealcanfreitas Maura Tarciany Coutinho Cajazeiras de Oliveira David Pessoa Morano Francisco Sérgio P. Regadas Lusmar V. Rodrigues Graziela Olivia da Silva Fernandes Francisco Sérgio P. Regadas Filho |
| author_facet | Sthela Maria Murad-Regadas Iris Daiana Dealcanfreitas Maura Tarciany Coutinho Cajazeiras de Oliveira David Pessoa Morano Francisco Sérgio P. Regadas Lusmar V. Rodrigues Graziela Olivia da Silva Fernandes Francisco Sérgio P. Regadas Filho |
| author_sort | Sthela Maria Murad-Regadas |
| collection | DOAJ |
| description | Purpose: We aimed to correlate the course of the anal fistula tract (T), location of the external opening (EO) and internal opening (IO) in anterior (A) and posterior (P) circumference using 3D-US according to Goodsall's rule. Methods: 151 patients with primary cryptoglandular Transsphincteric fistulas were examined with 3D-US and compared with surgical finding. The type of the T (straight or curved), EO and IO were identified and divided into 3 Groups: GI: EO and IO are located in a position; GII: EO and IO are located in P position and GIII: OE and OI are located in the opposite position. The findings were correlated with Goodsall's rule. Results: 74/151(49%) were included in GI, of them, 41 (55%) were male (33/44% had straight tract and 8/11% curved) and 33 (45%) female (15/20%-straight and 18/25%-curved). GII included 68 (45%), of them, 50 (74%) were male (39/57%-straight and 11/15%-curved) and 18 (26%) female (14/20%-straight and 04/8%-curved). GIII = 9 (6%) and all of them had curved tract. The overall concordance between 3D-US and surgical finding was 98% for tract and 96% for IO. Conclusion: The 3D-US findings correlate with the Goodsall's rule in transsphincteric fistulas located in the anterior circumference straight type, in male, while in females the distribution of curved and straight paths is similar. In the posterior circumference no correlation was observed in both the sexes. Resumo: Objetivo: Correlacionar o trajeto (T) da fístula anal, localização do orifício externo (OE) e orifício interno (OI) na hemicircunferência anterior (HCA) e posterior (HCP), utilizando 3D-US, com a lei de Goodsall. Método: 151 pacientes com fístulas transesfinctéricas criptoglangulares foram examinados com US-3D correlacionando com os achados cirúrgicos. Identificou-se o tipo de T (retilíneo ou curvo), OE e OI e distribuiu-se os pacientes em 3 grupos: GI:OE e OI localizados em HCA; GII:OE e OI localizados em HCP e GIII:OE e OI em posições opostas. Os achados foram correlacionados com a lei de Goodsall. Resultados: 74/151(49%) incluídos no GI, destes, 41(55%) homens(33/44% com trajeto retilíneo e 8/11% curvo) e 33(45%) mulheres(15/20%-retilíneo e 18/25%-curvo). No GII incluídos 68(45%), destes, 50(74%) homens(39/57%-retilíneo e 11/15%-curvo) e 18(26%) mulheres(14/20%-retilíneo e 04/8%-curvo). GIII = 9(6%) todos os trajetos curvos. A concordância entre o US-3D e os achados cirúrgicos foi de 98% para trajetos e 96% para o OI. Conclusão: Os achados ultrassonográficos permitiram correlacionar fístulas transesfinctéricas com trajetos retilíneos localizadas na hemicircunferência anterior, em homens, enquanto em mulheres a distribuição dos trajetos em curvo e retilíneo foram similares. Na hemicircunferência posterior não houve correlação em ambos os sexos. Keywords: Transsphincteric fistula, Goodsall's rule, Three-dimensional anorectal ultrasonography, Palavras-chave: Fístula transesfinctérica, Teoria de Goodsall, Ultrassonografia anorretal tridimensional |
| first_indexed | 2024-12-17T02:29:08Z |
| format | Article |
| id | doaj.art-25bc4e275c2c4c7792d52d136cf8f976 |
| institution | Directory Open Access Journal |
| issn | 2237-9363 |
| language | English |
| last_indexed | 2024-12-17T02:29:08Z |
| publishDate | 2015-04-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Journal of Coloproctology |
| spelling | doaj.art-25bc4e275c2c4c7792d52d136cf8f9762022-12-21T22:07:01ZengThieme Revinter Publicações Ltda.Journal of Coloproctology2237-93632015-04-013528389Anatomical characteristics of anal fistula evaluated by three-dimensional anorectal ultrasonography: is there a correlation with Goodsall's theory?Sthela Maria Murad-Regadas0Iris Daiana Dealcanfreitas1Maura Tarciany Coutinho Cajazeiras de Oliveira2David Pessoa Morano3Francisco Sérgio P. Regadas4Lusmar V. Rodrigues5Graziela Olivia da Silva Fernandes6Francisco Sérgio P. Regadas Filho7Department of Surgery, Medicine School, Universidade Federal do Ceará (UFC), Fortaleza, CE, Brazil; Corresponding author.Universidade Federal do Ceará (UFC), Fortaleza, CE, BrazilUniversity School of Medicine Hospital, Universidade Federal do Ceará (UFC), Fortaleza, CE, BrazilSanta Casa de Misericórdia, Universidade Federal do Ceará (UFC), Fortaleza, CE, BrazilDepartment of Digestive System, Medicine School, Universidade Federal do Ceará (UFC), Fortaleza, CE, BrazilService of Coloproctology, Medicine School, Universidade Federal do Ceará (UFC), Fortaleza, CE, BrazilUniversidade Federal do Ceará (UFC), Fortaleza, CE, BrazilUniversidade Federal do Ceará (UFC), Fortaleza, CE, BrazilPurpose: We aimed to correlate the course of the anal fistula tract (T), location of the external opening (EO) and internal opening (IO) in anterior (A) and posterior (P) circumference using 3D-US according to Goodsall's rule. Methods: 151 patients with primary cryptoglandular Transsphincteric fistulas were examined with 3D-US and compared with surgical finding. The type of the T (straight or curved), EO and IO were identified and divided into 3 Groups: GI: EO and IO are located in a position; GII: EO and IO are located in P position and GIII: OE and OI are located in the opposite position. The findings were correlated with Goodsall's rule. Results: 74/151(49%) were included in GI, of them, 41 (55%) were male (33/44% had straight tract and 8/11% curved) and 33 (45%) female (15/20%-straight and 18/25%-curved). GII included 68 (45%), of them, 50 (74%) were male (39/57%-straight and 11/15%-curved) and 18 (26%) female (14/20%-straight and 04/8%-curved). GIII = 9 (6%) and all of them had curved tract. The overall concordance between 3D-US and surgical finding was 98% for tract and 96% for IO. Conclusion: The 3D-US findings correlate with the Goodsall's rule in transsphincteric fistulas located in the anterior circumference straight type, in male, while in females the distribution of curved and straight paths is similar. In the posterior circumference no correlation was observed in both the sexes. Resumo: Objetivo: Correlacionar o trajeto (T) da fístula anal, localização do orifício externo (OE) e orifício interno (OI) na hemicircunferência anterior (HCA) e posterior (HCP), utilizando 3D-US, com a lei de Goodsall. Método: 151 pacientes com fístulas transesfinctéricas criptoglangulares foram examinados com US-3D correlacionando com os achados cirúrgicos. Identificou-se o tipo de T (retilíneo ou curvo), OE e OI e distribuiu-se os pacientes em 3 grupos: GI:OE e OI localizados em HCA; GII:OE e OI localizados em HCP e GIII:OE e OI em posições opostas. Os achados foram correlacionados com a lei de Goodsall. Resultados: 74/151(49%) incluídos no GI, destes, 41(55%) homens(33/44% com trajeto retilíneo e 8/11% curvo) e 33(45%) mulheres(15/20%-retilíneo e 18/25%-curvo). No GII incluídos 68(45%), destes, 50(74%) homens(39/57%-retilíneo e 11/15%-curvo) e 18(26%) mulheres(14/20%-retilíneo e 04/8%-curvo). GIII = 9(6%) todos os trajetos curvos. A concordância entre o US-3D e os achados cirúrgicos foi de 98% para trajetos e 96% para o OI. Conclusão: Os achados ultrassonográficos permitiram correlacionar fístulas transesfinctéricas com trajetos retilíneos localizadas na hemicircunferência anterior, em homens, enquanto em mulheres a distribuição dos trajetos em curvo e retilíneo foram similares. Na hemicircunferência posterior não houve correlação em ambos os sexos. Keywords: Transsphincteric fistula, Goodsall's rule, Three-dimensional anorectal ultrasonography, Palavras-chave: Fístula transesfinctérica, Teoria de Goodsall, Ultrassonografia anorretal tridimensionalhttp://www.sciencedirect.com/science/article/pii/S2237936315000325 |
| spellingShingle | Sthela Maria Murad-Regadas Iris Daiana Dealcanfreitas Maura Tarciany Coutinho Cajazeiras de Oliveira David Pessoa Morano Francisco Sérgio P. Regadas Lusmar V. Rodrigues Graziela Olivia da Silva Fernandes Francisco Sérgio P. Regadas Filho Anatomical characteristics of anal fistula evaluated by three-dimensional anorectal ultrasonography: is there a correlation with Goodsall's theory? Journal of Coloproctology |
| title | Anatomical characteristics of anal fistula evaluated by three-dimensional anorectal ultrasonography: is there a correlation with Goodsall's theory? |
| title_full | Anatomical characteristics of anal fistula evaluated by three-dimensional anorectal ultrasonography: is there a correlation with Goodsall's theory? |
| title_fullStr | Anatomical characteristics of anal fistula evaluated by three-dimensional anorectal ultrasonography: is there a correlation with Goodsall's theory? |
| title_full_unstemmed | Anatomical characteristics of anal fistula evaluated by three-dimensional anorectal ultrasonography: is there a correlation with Goodsall's theory? |
| title_short | Anatomical characteristics of anal fistula evaluated by three-dimensional anorectal ultrasonography: is there a correlation with Goodsall's theory? |
| title_sort | anatomical characteristics of anal fistula evaluated by three dimensional anorectal ultrasonography is there a correlation with goodsall s theory |
| url | http://www.sciencedirect.com/science/article/pii/S2237936315000325 |
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