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- W2086781058 abstract "PURPOSE: Objectives of surgical treatment for transsphincteric and complex anorectal fistulas are the successful elimination of current/recurrent disease and the preservation of sphincter function. The concept of endorectal advancement flaps is to preserve the sphincter by closing off the primary opening by means of a mobilized flap. We performed a systematic review of the literature to assess the role of this technique. METHODS: A literature search on transanal rectal advancement flaps to treat cryptoglandular or Crohn fistula-in-ano was performed for the 30-year period between 1978 and 2008. Rectovaginal/rectourinary or cancer-related fistulas were excluded. Each study was examined for length of follow-up and the 2 major end points: success rate and incontinence rate. RESULTS: From 35 studies with 2065 patients, we identified 1654 patients undergoing endorectal advancement flaps for cryptoglandular or Crohn disease. Four hundred eleven subjects were excluded (319 rectovaginal/rectourinary fistulas; 92 other causes). The quality of the reports was limited (low-level evidence) with numerous structural and design flaws. Weighted success and incontinence rates were 80.8%/13.2% for cryptoglandular and 64%/9.4% for Crohn fistulas. CONCLUSION: Endorectal advancement flap is one tool, although not a perfect one, to treat complex anorectal fistulas of cryptoglandular or Crohn origin. Higher level evidence would be needed for comparison with other surgical techniques." @default.
- W2086781058 created "2016-06-24" @default.
- W2086781058 creator A5045776455 @default.
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- W2086781058 date "2010-04-01" @default.
- W2086781058 modified "2023-10-12" @default.
- W2086781058 title "Endorectal Advancement Flap for Cryptoglandular or Crohn's Fistula-in-Ano" @default.
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- W2086781058 doi "https://doi.org/10.1007/dcr.0b013e3181ce8b01" @default.
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