ArticleWorld journal of gastrointestinal surgery2025
Enhanced surgical management of complex anal fistulas
Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Integrating traditional Chinese medicine in anal fistula surgery: A step forward in holistic patient care.World journal of gastrointestinal surgery · 2026Article
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4 authors.
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Abstract
backgroundOur research aimed to enhance treatment approaches for difficult anal fistula patients
aimTo compare the clinical effectiveness and safety of traditional Chinese medicine-integrated surgery with traditional seton-based care for patients with complicated anal fistulas.
methodsTo assess the safety and therapeutic effectiveness of surgical treatment combined with traditional Chinese medicine with traditional seton-based management for patients with complicated anal fistulas. The standard care group (62 patients) received usual surgical care, including regular seton drainage and fistula cutting procedures. The 70 patients in the enhanced care group underwent specialized Chinese surgical therapy that included the transanal opening of intersphincteric space technique for high muscle-crossing fistulas, personalized set-on techniques, and auxiliary therapies such herbal steam treatments and washing. Our study compared healing success, wound closure time, sphincter function preservation, and after-surgery problems between these groups.
resultsThe improved care group achieved 90.0% overall success, which was notably better than the 78.8% overall success rate of the standard care group (
conclusionWhen treating challenging anal fistulas, the improved Chinese surgical technique undoubtedly improves healing results, recovery times, and post-operative complications while preserving improved bowel control.
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