ReviewClinics in colon and rectal surgery2016
Management of Complex Perineal Fistula Disease.
Review in Clinics in colon and rectal surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- A Systematic review and meta-analysis of the efficacy and safety of video-assisted anal fistula treatment (VAAFT).Surgical endoscopy · 2018Pooled it
- Efficacy of Mesenchymal Stromal Cells for Fistula Treatment of Crohn's Disease: A Systematic Review and Meta-Analysis.Digestive diseases and sciences · 2017Pooled it
- Isolated Rectal Polypoid Lesion as the Initial Presentation of Crohn's Disease.ACG case reports journal · 2026Article
- Long anal fistulas might be simple fistulas beyond Goodsall's rule: a case series.BMC surgery · 2025Article
- Evaluation of the outcomes of fistulotomy with primary sphincter reconstruction in the management of high trans-sphincteric fistula and supra-sphincteric fistula-in-ano : A single-center prospective cohort study.Chirurgie (Heidelberg, Germany) · 2024Article
- Development of a new patient-reported outcome measure for complex cryptoglandular fistulas (20-Item complex cryptoglandular fistula questionnaireJournal of patient-reported outcomes · 2024Article
- Optimum management for complex anal fistula: A network meta-analysis of randomized controlled trials.Surgery open science · 2024Article
- Role of Adipose Tissue Hormones in Pathogenesis of Cryptoglandular Anal Fistula.International journal of molecular sciences · 2024Article
- Repeat operations in patients with anal fistula, a retrospective study across England and Wales.International journal of colorectal disease · 2023Article
- Gracilis muscle transposition in complex anorectal fistulas of diverse types and etiologies: long-term results of 60 cases.International journal of colorectal disease · 2023Article
- Treatment of Rectovaginal Fistula.Journal of the anus, rectum and colon · 2023Review
- Combined transabdominal-transanal surgical approach for iatrogenic rectovaginal fistula: two case reports.Annals of the Royal College of Surgeons of England · 2022Article
- What is the best method of rectovaginal fistula repair? A 25-year single-center experience.Techniques in coloproctology · 2021Article
- Clinical outcome and quality of life after gracilis muscle transposition for fistula closure over a 10-year period.International journal of colorectal disease · 2021Article
- Recurrent anal fistulas: When, why, and how to manage?World journal of clinical cases · 2020Review
- Redo gracilis interposition for complex perineal fistulas.Techniques in coloproctology · 2020Article
- Complex anal fistula involving male genital tract: a new diagnostic entity.BMJ case reports · 2019Article
- Systematic review with meta-analysis: Safety and efficacy of local injections of mesenchymal stem cells in perianal fistulas.JGH open : an open access journal of gastroenterology and hepatology · 2019Review
- Genital tract fistula: a case series from a tertiary centre in South Africa.International urogynecology journal · 2018Article
- Surgical management of complicated rectovaginal fistulas and the role of omentoplasty.Techniques in coloproctology · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Management of complex perineal fistulas such as high perianal, rectovaginal, pouch-vaginal, rectourethral, or pouch-urethral fistulas requires a systematic approach. The first step is to control any sepsis with drainage of abscess and/or seton placement. Patients with large, recurrent, irradiated fistulas benefit from stoma diversion. In patients with Crohn's disease, it is essential to induce remission prior to any repair. There are different approaches to repair complex fistulas, from local repairs to transperineal and transabdominal approaches. Simpler fistulas are amenable to local repair. More complex fistulas, such as those secondary to irradiation, require interposition of healthy, well-vascularized tissue. The most common flap used for this treatment is the gracilis muscle with good outcomes reported. Once healing is confirmed by imaging and endoscopy, the stoma is reversed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.