Lessons learned from an audit of 1250 anal fistula patients operated at a single center: A retrospective review

doi:10.4240/wjgs.v13.i4.340

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Apr 27, 2021 (publication date) through May 17, 2024

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Cohort Study

World J Gastrointest Surg. Apr 27, 2021; 13(4): 340-354
Published online Apr 27, 2021. doi: 10.4240/wjgs.v13.i4.340

Table 2 Results achieved in patients managed by the Garg Fistula Research Institute algorithm and treated by transanal opening of intersphincteric space and fistulotomy

	Total (n = 1019)	Subgroup analysis
	Total (n = 1019)	Supralevator fistulas (n = 129)	Horseshoe fistula (n = 203)	Associated abscess (n = 258)	No abscess (n = 761)
Excluded	144 (Lost to FU-76, Short FU-68)	17 (Lost to FU-3, Short FU-14)	27 (Lost to FU-8, Short FU-19)	35 (Lost to FU-18, Short FU-17)	109 (Lost to FU-58, Short FU-51)
Healing after first surgery	89.5% (783/875)	73.2% (82/112)	76.7% (135/176)	85.2% (190/223)	90.9% (593/652)
Overall healing rate	93.5% (818/875)	82.1% (92/112)	85.8% (151/176)	90.6% (202/223)	94.5% (616/652)
				P = 0.0578 (not significant)

Age: 38.7 ± 11.1; Sex: 882 male/137 female; Follow-up: 33 mo (range 1-105); Procedures performed: 611 fistulotomies, 408 transanal opening of the intersphincteric space procedures.

Citation: Garg P, Kaur B, Goyal A, Yagnik VD, Dawka S, Menon GR. Lessons learned from an audit of 1250 anal fistula patients operated at a single center: A retrospective review. World J Gastrointest Surg 2021; 13(4): 340-354
URL: https://www.wjgnet.com/1948-9366/full/v13/i4/340.htm
DOI: https://dx.doi.org/10.4240/wjgs.v13.i4.340