Initial Experience With Video-Assisted Anal Fistula Treatment in the Philippines
Purpose We determined the outcomes of patients undergoing video-assisted anal fistula treatment (VAAFT) for fistulain-ano at the Philippine General Hospital. Methods Twenty consecutive adult patients who underwent the VAAFT procedure from 2016–2018 were included in this investigation. Information de...
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| Format: | Article |
| Language: | English |
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Korean Society of Coloproctology
2020-04-01
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| Series: | Annals of Coloproctology |
| Subjects: | |
| Online Access: | http://coloproctol.org/upload/pdf/ac-2020-02-28.pdf |
| _version_ | 1818688809967026176 |
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| author | Marc Paul J. Lopez Mark Augustine S. Onglao Hermogenes J. Monroy III |
| author_facet | Marc Paul J. Lopez Mark Augustine S. Onglao Hermogenes J. Monroy III |
| author_sort | Marc Paul J. Lopez |
| collection | DOAJ |
| description | Purpose We determined the outcomes of patients undergoing video-assisted anal fistula treatment (VAAFT) for fistulain-ano at the Philippine General Hospital. Methods Twenty consecutive adult patients who underwent the VAAFT procedure from 2016–2018 were included in this investigation. Information detailing baseline demographic and clinical data, fistula type and classification, and previous surgeries were retrieved from in-hospital and operative records. Operative time, identification of the internal opening, method of internal opening closure, and occurrence of immediate postoperative complications were determined. The status of the fistula was assessed at one month, 3 months, and 6 months postoperatively based on outpatient follow-up records. The primary outcomes were healing rate and recurrence rate. Secondary outcomes were 30-day morbidity, postoperative complications, and incontinence using the Wexner score. Results Eighteen patients (90%) had a preoperative diagnosis of complex fistula, and 13 patients (65%) had undergone a previous fistula surgery. Primary healing rate was 55% at 1 month, 63.16% at 3 months, and 78.95% at 6 months postoperatively. Eighteen patients (94.74%) maintained continence (Wexner score = 0) at 6 months. Conclusion Our study results suggest that VAAFT is a safe, minimally invasive technique for treatment of anal fistula and can preserve anal sphincter function. The technique has an acceptable healing rate with minimal complications. |
| first_indexed | 2024-12-17T12:00:07Z |
| format | Article |
| id | doaj.art-4ae82696faa145b29316719b706bef64 |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-12-17T12:00:07Z |
| publishDate | 2020-04-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-4ae82696faa145b29316719b706bef642022-12-21T21:49:52ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222020-04-0136211211810.3393/ac.2020.02.281704Initial Experience With Video-Assisted Anal Fistula Treatment in the PhilippinesMarc Paul J. Lopez0Mark Augustine S. OnglaoHermogenes J. Monroy III1 Division of Colorectal Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, the Philippines Division of Colorectal Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, the PhilippinesPurpose We determined the outcomes of patients undergoing video-assisted anal fistula treatment (VAAFT) for fistulain-ano at the Philippine General Hospital. Methods Twenty consecutive adult patients who underwent the VAAFT procedure from 2016–2018 were included in this investigation. Information detailing baseline demographic and clinical data, fistula type and classification, and previous surgeries were retrieved from in-hospital and operative records. Operative time, identification of the internal opening, method of internal opening closure, and occurrence of immediate postoperative complications were determined. The status of the fistula was assessed at one month, 3 months, and 6 months postoperatively based on outpatient follow-up records. The primary outcomes were healing rate and recurrence rate. Secondary outcomes were 30-day morbidity, postoperative complications, and incontinence using the Wexner score. Results Eighteen patients (90%) had a preoperative diagnosis of complex fistula, and 13 patients (65%) had undergone a previous fistula surgery. Primary healing rate was 55% at 1 month, 63.16% at 3 months, and 78.95% at 6 months postoperatively. Eighteen patients (94.74%) maintained continence (Wexner score = 0) at 6 months. Conclusion Our study results suggest that VAAFT is a safe, minimally invasive technique for treatment of anal fistula and can preserve anal sphincter function. The technique has an acceptable healing rate with minimal complications.http://coloproctol.org/upload/pdf/ac-2020-02-28.pdffistulaanalanorectal |
| spellingShingle | Marc Paul J. Lopez Mark Augustine S. Onglao Hermogenes J. Monroy III Initial Experience With Video-Assisted Anal Fistula Treatment in the Philippines Annals of Coloproctology fistula anal anorectal |
| title | Initial Experience With Video-Assisted Anal Fistula Treatment in the Philippines |
| title_full | Initial Experience With Video-Assisted Anal Fistula Treatment in the Philippines |
| title_fullStr | Initial Experience With Video-Assisted Anal Fistula Treatment in the Philippines |
| title_full_unstemmed | Initial Experience With Video-Assisted Anal Fistula Treatment in the Philippines |
| title_short | Initial Experience With Video-Assisted Anal Fistula Treatment in the Philippines |
| title_sort | initial experience with video assisted anal fistula treatment in the philippines |
| topic | fistula anal anorectal |
| url | http://coloproctol.org/upload/pdf/ac-2020-02-28.pdf |
| work_keys_str_mv | AT marcpauljlopez initialexperiencewithvideoassistedanalfistulatreatmentinthephilippines AT markaugustinesonglao initialexperiencewithvideoassistedanalfistulatreatmentinthephilippines AT hermogenesjmonroyiii initialexperiencewithvideoassistedanalfistulatreatmentinthephilippines |