OBJECTIVE: The aim of this study was to examine the results of surgery for complex anal @entity292 treated by a variety of techniques, in terms of @entity292 healing, recurrent @entity295 and effect of surgery on anal continence. @entity1 AND METHODS: This study included 63 @entity1 with complex @entity292 treated between November 1995 and September 1999. A variety of techniques were employed, including short-term loose seton drain (12), long-term loose seton drain (11), cutting seton (17), and rectal advancement flap (19). Outcome was assessed at clinic review and continence was further assessed by detailed questionnaire sent to the @entity1 sometime after surgery. RESULTS: Healing occurred in 9 (75%) @entity1 treated with a short-term, loose drainage seton; 16 (94%) @entity1 treated with a cutting seton and 17 (89%) @entity1 in the rectal advancement flap group. @entity322 reported at clinic review seemed to be more frequent in the advancement flap group. However, a detailed continence questionnaire revealed that 50% of @entity1 reported episodes of @entity322 to flatus or liquid after all techniques, which had not been detected at routine clinical review. @entity322 to solids was only reported by two of the @entity1 who had been treated with a cutting seton. CONCLUSIONS: Complex @entity292 may be successfully treated by a variety of techniques. Disturbed anal continence following surgery is common and worse than clinic assessment would suggest.

The outcome of surgery for complex anal XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity295 :: ('MESH:D018805', 'Disease') :: ['anal sepsis'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula', 'fistulas'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence', 'Incontinence']
@entity292 :: (MESH:D005402,Disease) :: ['fistula']
