Evidence map›Paper›PMID 31420742›Full record

ArticlePediatric surgery international2019

Risk factors for the recurrence of perineal canal.

Keisuke Kajihara, Hiroaki Fukuzawa, Koji Fukumoto, Naoto Urushihara, Yoshitomo Samejima, Kotaro Uemura, Kozo Nomura, Insu Kawahara, Kaori Isono, Keiiti Morita and 3 more

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Article in Pediatric surgery international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Keisuke KajiharaDepartment of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan. ballack13_kay@yahoo.co.jp.
Hiroaki FukuzawaDepartment of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Koji FukumotoDepartment of Pediatric Surgery, Shizuoka Children's Hospital, Shizuoka, Japan.
Naoto UrushiharaDepartment of Pediatric Surgery, Shizuoka Children's Hospital, Shizuoka, Japan.
Yoshitomo SamejimaDepartment of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Kotaro UemuraDepartment of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Kozo NomuraDepartment of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Insu KawaharaDepartment of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Kaori IsonoDepartment of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Keiiti MoritaDepartment of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Makoto NakaoDepartment of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Akiko YokoiDepartment of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan.
Kosaku MaedaDepartment of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to investigate risk factors for recurrence in the perineal canal (PC).

methodsPatients with PC who underwent operations were enrolled in this study and were divided into recurrence and non-recurrence groups. Preoperative infection, the age at the operation, the presence of colostomy and the treatment procedure for fistula were retrospectively investigated. Regarding the treatment procedure for fistula, either closure of the rectal wall with stitches or ligation of fistula in the rectum was performed. These factors were compared between the two groups.

resultsSix of 17 patients with PC who underwent surgical treatment had recurrence. There were no significant differences in the incidence of preoperative infection, age at operation or presence of colostomy (p = 0.60, 0.38, 1.00, respectively). In the recurrence group, all patients were treated by closure of the rectal wall. In the non-recurrence group, five were treated by the closure of the rectal wall with stitches and six by ligation of the fistula. There was a significant association between recurrence and the treatment procedure for fistula (p = 0.04).

conclusionClosure of the rectal wall with stitches is a risk factor for the recurrence of PC.

Indexed as

Digestive System Surgical ProceduresFemaleFistulaHumansInfantMalePerineumRectal DiseasesRectumRecurrenceRetrospective StudiesRisk FactorsTreatment OutcomeLigation of fistulaPerineal canalRisk factor for recurrenceVestibulo-anal pull-through

Identifiers

PMID31420742

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