ReviewCureus2019
Factors Increasing the Risk of Recurrence in Fistula-in-ano.
Review in Cureus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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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
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Cutting seton for the treatment of cryptoglandular fistula-in-ano: a systematic review and meta-analysis.Techniques in coloproctology · 2023Pooled it
- Microsurgery in mucosal advancement flap repair: a microscope-assisted, tissue-sparing approach for managing complex perianal fistulas within the IDEAL Stage 1 framework.Surgical endoscopy · 2026Trial
- Hydrogen peroxide-enhanced magnetic resonance imaging: A novel approach for diagnosing anorectal-fistula.World journal of radiology · 2025Article
- Mucosal advancement flap versus ligation of the inter-sphincteric fistula tract for management of trans-sphincteric perianal fistulas in the elderly: a retrospective study.International journal of colorectal disease · 2025Observational
- High-resolution direct magnetic resonance imaging fistulography with hydrogen peroxide for diagnosing anorectal fistula: A preliminary retrospective study.World journal of radiology · 2025Article
- Different tightening schemes in thread-drawing therapy and their effects on anal function recovery in patients with high simple anal fistula.Frontiers in physiology · 2025Article
- Comparison of multi-phase contrast-enhanced T1-weighted volumetric interpolated breath-hold examination and fat-suppressed T2-weighted combined with diffusion-weighted magnetic resonance imaging in anal fistula evaluation.Quantitative imaging in medicine and surgery · 2024Article
- Article
- High complex anal fistula managed by the modified transanal opening of the intersphincteric spaceWorld journal of radiology · 2024Article
- Cell-assisted lipotransfer in treating uncontrollable sepsis associated perianal fistula: a pilot study.Annals of coloproctology · 2024Article
- Complex Anterior Supralevator Anal Fistula With Prostatic Abscess Treated With Ksharasutra: A Case Report.Case reports in surgery · 2024Article
- Multi-national observational study to assess quality of life and treatment preferences in patients with Crohn's perianal fistulas.World journal of gastrointestinal surgery · 2023Article
- Preoperative Assessment of Perianal Fistulas with Combined Magnetic Resonance and Tridimensional Endoanal Ultrasound: A Prospective Study.Diagnostics (Basel, Switzerland) · 2023Article
- Three-dimensional pelvic ultrasound is a practical tool for the assessment of anal fistula.BMC gastroenterology · 2023Article
- Article
- Surgery of Simple and Complex Anal Fistulae in Adults: A Review of the Literature for Optimal Surgical Outcomes.Cureus · 2023Review
- Accuracy of magnetic resonance imaging in defining dentate line in anal fistula.BMC medical imaging · 2022Article
- Trends in Treatment for Hemorrhoids, Fistula, and Anal Fissure: Go Along the Current Trends.Journal of the anus, rectum and colon · 2022Review
- Long-term follow-up study of loose combined cutting seton surgery for patients with high anal fistula.Annals of translational medicine · 2021Article
- Anal fistula communicating to anterior abdominal wall treated with ksharasutra (medicated seton): a rare case study.Journal of surgical case reports · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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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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.