%0 Journal Article
%T Anal fistula: results of surgical treatment in a consecutive series of patients
%A Oliveira
%A Paulo Gon£¿alves de
%A Sousa
%A Jo£¿o Batista de
%A Almeida
%A Romulo Medeiros de
%A Wurmbauer
%A Isabel Ferreira Saenger
%A Santos
%A Ant£¿nio Carlos N¨®brega dos
%A Guilherme Filho
%A Jos¨¦
%J Journal of  Coloproctology (Rio de Janeiro)
%D 2012
%I Sociedade Brasileira de Coloproctologia
%R 10.1590/S2237-93632012000100008
%X objectives: to evaluate the results of surgical treatment of patients with anal fistulas in a consecutive series of patients. methods: a retrospective analytical study of a consecutive series of cases prospectively collected. the sample comprised 210 patients who underwent surgery; demographic data, signs and symptoms, intraoperative classification of the fistulas and healing time were analyzed. results: the median age was 38 years and 69.0% of the patients were male. the most frequent symptom was perianal orifice with purulent drainage. the fistulas were classified as transsphincteric in 60.9% and the most used operative treatment was the marsupialization of fistulotomy, in 84.2% of cases. complete healing occurred in all patients between 2 and 16 weeks. one hundred and seventy-eight patients, 84.8% of the patients who underwent surgery, were evaluated at least one year after surgery and recurrence occurred in 6.4% of cases. conclusions: there was male prevalence (2.2/1), and most fistulas were transsphincteric. the marsupialization of fistulotomy was the most used operative treatment, and it presented acceptable low rates of morbidity and recurrence of 6.4%.
%K fistula
%K rectal fistula
%K surgery
%K classification
%K surgical treatment
%K operative.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S2237-93632012000100008&lng=en&nrm=iso&tlng=en