The effect of hybrid seton on anal continence and quality of life in transsphincteric fistulas. Long-term follow-up.

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dc.authorid0000-0003-3565-6889
dc.contributor.authorGülen, Merter
dc.contributor.authorTürkmen Sarıyıldız, Gülçin
dc.contributor.authorPala, Miraç İlker
dc.contributor.authorEge, Bahadır
dc.date.accessioned2023-05-08T11:19:24Z
dc.date.available2023-05-08T11:19:24Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractBACKGROUND: The aim of this study is to evaluate long-term results of hybrid seton on anal continence and quality of life in transsphincteric fistulas. METHODS: Between 2011-2013 eighty patients who completed 7-year follow-up among 154 patients who were operated for perianal fistula were included. Of the 50 patients participating, 42 (84%); 31 men, 11 women) returned all questionnaraires. The proctological findings of the patients were compared with the newly obtained ones retrospectively. Demographic characteristics of the patients, preoperative and postoperative 3rd month and 7th year Cleveland Clinic Incontinence Score, preoperative and postoperative 3rd month and 7th year Fecal Incontinence Quality of Life and seton fall times were assessed. RESULTS: Thirty (73.8%) of 42 patients were male and 11 (26.2%) were female. The mean age of male patients was 36.3 +/- 10.3 (18-57), and the mean age of female patients was 41.2 +/- 12.1 (25-64) years. The mean time drop off the elastic seton was 19 +/- 2.40 days (range 12-30 days). The preoperative and postoperative 3rd month Fecal Incontinence Quality of Life valuesT were compared and improvement in lifestyle quality at the postoperative 3rd month was found to be statistically significant (p <0.01). When the preoperative and postoperative 7th year were compared in terms of Fecal Incontinence Quality of Life, behavior, life style and depression improved positively (p <0.01). CONCLUSION: Hybrid seton in transsphincteric perianal fistula surgery is an effective and reliable method for preserving anal continence and improving quality of life.
dc.identifier.citationGülen, M., Türkmen Sarıyıldız, G., Pala, M. İ. ve Ege, B. (2022). The effect of hybrid seton on anal continence and quality of life in transsphincteric fistulas. Long-term follow-up. Annali Italiani Di Chirurgia, 93(6), 716-719.
dc.identifier.endpage719
dc.identifier.issn0003-469X
dc.identifier.issn2239-253X
dc.identifier.issue6
dc.identifier.pmid36617281
dc.identifier.scopus2-s2.0-85145978385
dc.identifier.scopusqualityQ3
dc.identifier.startpage716
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10915
dc.identifier.volume93
dc.identifier.wos000964880700016en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorPala, Miraç İlker
dc.language.isoen
dc.publisherEdizioni Luigi Pozzi
dc.relation.ispartofAnnali Italiani Di Chirurgiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectAnal Fistula
dc.subjectFecal Incontinence
dc.subjectQuality of Life
dc.titleThe effect of hybrid seton on anal continence and quality of life in transsphincteric fistulas. Long-term follow-up.
dc.typeArticle

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