ArticleMedical science monitor : international medical journal of experimental and clinical research2020
Clinical Effect of Tunnel-Like Fistulectomy Plus Draining Seton Combined with Incision of Internal Opening of Anal Fistula (TFSIA) in the Treatment of High Trans-Sphincteric Anal Fistula.
Article in Medical science monitor : international medical journal of experimental and clinical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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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.
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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.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Cutting seton for the treatment of cryptoglandular fistula-in-ano: a systematic review and meta-analysis.Techniques in coloproctology · 2023Pooled it
- Comparison of clinical outcomes of anal fistula plug and endoanal advancement flap repair treating the complex anal fistula: a systematic review and meta-analysis.Updates in surgery · 2023Pooled it
- Comparative Analysis of Directional Snare vs Cutting Seton for High Anal Fistula Treatment.Medical science monitor : international medical journal of experimental and clinical research · 2024Trial
- Cutting seton versus decompression and drainage seton in the treatment of high complex anal fistula: a randomized controlled trial.Scientific reports · 2022Trial
- Minimal invasiveAnnals of medicine and surgery (2012) · 2025Article
- Efficacy of different surgical treatments for management of anal fistula: a network meta-analysis.Techniques in coloproctology · 2023Review
- Comparison between recent sphincter-sparing procedures for complex anal fistulas-ligation of intersphincteric tractWorld journal of gastrointestinal surgery · 2022Review
- Non-Locatable Internal Opening in Anal Fistula Associated with Acute Abscess and Its Definitive Management by Garg Protocol.Clinical and experimental gastroenterology · 2022Article
- Sphincter-Preserving Fistulectomy Is an Effective Minimally Invasive Technique for Complex Anal Fistulas.Frontiers in surgery · 2022Article
- Long-term follow-up study of loose combined cutting seton surgery for patients with high anal fistula.Annals of translational medicine · 2021Article
- Time-scheduled dotted and solid thread-ligating therapy combined with vacuum sealing drainage for treating high complex anal fistula.American journal of translational research · 2021Article
- Advances in the Treatment of Anal Fistula: A Mini-Review of Recent Five-Year Clinical Studies.Frontiers in surgery · 2020Review
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 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND The aim of this study was to investigate the clinical effect of tunnel-like fistulectomy plus draining seton combined with incision of internal opening of anal fistula (TFSIA) in the treatment of high transsphincteric anal fistula. MATERIAL AND METHODS There were 80 patients with high transsphincteric anal fistula randomly divided into TFSIA group and control group, 40 cases in each group. The control group was treated with cutting seton, and the seton was tightened weekly after discharge from the hospital until the seton dropped off. In the TFSIA group, the anal fistula was dissected and resected in tunnel-like form through the external opening to the intersphinceteric space, drained with seton through the tunnel, and cut open the internal opening of the anal fistula and the intersphincteric space and expanded the drainage. The operative time, blood loss, postoperative uroschesis, anal wound pain score, healing time, Wexner anal incontinence score, keyhole-like deformity, and recurrence rate were compared between the 2 groups. RESULTS The differences of the blood loss, operative time, anal wound pain score at 6 hours after operation, postoperative uroschesis and the recurrence rate after operation were not statistically significant (P>0.05), but the TFSIA were better than the control group in the anal wound pain score at 1 week after operation, healing time, Wexner anal incontinence score, and anal keyhole-like deformity rate (P<0.05). CONCLUSIONS TFSIA is effective in treating high transsphincteric anal fistula, and it can reduce adverse complications after operation.
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