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Factors Increasing the Risk of Recurrence in Fistula-in-ano

Anal fistula, or fistula-in-ano, is a condition involving the anal region that is common yet debilitating. Surgery is the mainstay of treatment for an anal fistula and the chances of recurrence are quite high even after corrective surgical procedures. The risk factors for recurrence can be broadly c...

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Detalles Bibliográficos
Autores principales: Bakhtawar, Nabiyah, Usman, Muhammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6505737/
https://www.ncbi.nlm.nih.gov/pubmed/31114719
http://dx.doi.org/10.7759/cureus.4200
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author Bakhtawar, Nabiyah
Usman, Muhammad
author_facet Bakhtawar, Nabiyah
Usman, Muhammad
author_sort Bakhtawar, Nabiyah
collection PubMed
description Anal fistula, or fistula-in-ano, is a condition involving the anal region that is common yet debilitating. Surgery is the mainstay of treatment for an anal fistula and the chances of recurrence are quite high even after corrective surgical procedures. The risk factors for recurrence can be broadly classified into four categories: 1) risk factors related to the fundamental anatomy of the fistula and presence of comorbidities, 2) lack of proper preoperative assessment of the fistula, which includes failure to recognize the internal opening and overall structure of the fistula and not supplementing the proctologic examination with sufficient imaging, 3) intraoperative loopholes that include improper procedure selection, inexperience of the surgeon, and failure to get rid of the entire tract along with its ramifications, and 4) lack of proper postoperative care in the early and late periods following the surgery. The aim of this paper, therefore, is to highlight the factors that could increase the risk of recurrence in different types of anal fistulae. Once surgeons know these risk factors, they can anticipate any complication and detect recurrence early.
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spelling pubmed-65057372019-05-21 Factors Increasing the Risk of Recurrence in Fistula-in-ano Bakhtawar, Nabiyah Usman, Muhammad Cureus Gastroenterology Anal fistula, or fistula-in-ano, is a condition involving the anal region that is common yet debilitating. Surgery is the mainstay of treatment for an anal fistula and the chances of recurrence are quite high even after corrective surgical procedures. The risk factors for recurrence can be broadly classified into four categories: 1) risk factors related to the fundamental anatomy of the fistula and presence of comorbidities, 2) lack of proper preoperative assessment of the fistula, which includes failure to recognize the internal opening and overall structure of the fistula and not supplementing the proctologic examination with sufficient imaging, 3) intraoperative loopholes that include improper procedure selection, inexperience of the surgeon, and failure to get rid of the entire tract along with its ramifications, and 4) lack of proper postoperative care in the early and late periods following the surgery. The aim of this paper, therefore, is to highlight the factors that could increase the risk of recurrence in different types of anal fistulae. Once surgeons know these risk factors, they can anticipate any complication and detect recurrence early. Cureus 2019-03-07 /pmc/articles/PMC6505737/ /pubmed/31114719 http://dx.doi.org/10.7759/cureus.4200 Text en Copyright © 2019, Bakhtawar et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Gastroenterology
Bakhtawar, Nabiyah
Usman, Muhammad
Factors Increasing the Risk of Recurrence in Fistula-in-ano
title Factors Increasing the Risk of Recurrence in Fistula-in-ano
title_full Factors Increasing the Risk of Recurrence in Fistula-in-ano
title_fullStr Factors Increasing the Risk of Recurrence in Fistula-in-ano
title_full_unstemmed Factors Increasing the Risk of Recurrence in Fistula-in-ano
title_short Factors Increasing the Risk of Recurrence in Fistula-in-ano
title_sort factors increasing the risk of recurrence in fistula-in-ano
topic Gastroenterology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6505737/
https://www.ncbi.nlm.nih.gov/pubmed/31114719
http://dx.doi.org/10.7759/cureus.4200
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