Marsupialization of fistulotomy and fistulectomy wounds improves healing and decreases bleeding: a randomized controlled trial

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
M PescatoriS Magrini

Abstract

Marsupialization of anal fistulotomy/fistulectomy wound leaves less raw unepithelialized tissue. The suture results in a more rapid healing and is likely to reduce the risk of bleeding but at the cost of an increased pain and infection. The aim of this prospective study was to compare the outcomes of marsupialization and open wound. Forty-six consecutive patients with anal fistulae were recruited in a randomized controlled trial. Fistula tracks were treated by fistulotomy and/or fistulectomy. The resulting wounds were marsupialized to the skin edges with locking continuous absorbable sutures (M group) or left open (O group). The clinical outcome was then evaluated. The intra-operative effect of the suture on wound size was recorded as well as the postoperative pain using a 0-10 visual analogue scale (VAS) and the occurrence of both wound bleeding and infection. Twenty-two patients were randomized to the M group and 24 to the O group. There were no differences in the age, sex and fistula type between the groups. Mean follow-up times were 10.5 and 13.8 months, respectively. No significant difference was observed in postoperative pain, the VAS being 3.5 +/- 1.5 in the M group and 3.4 +/- 1.6 in the O group at 12 h (mean +/- s.e.m....Continue Reading

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Citations

Oct 17, 2009·Inflammatory Bowel Diseases·Hussila KeshawRichard M Day
Oct 27, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J G WilliamsB D George
May 16, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A I Malik, R L Nelson
Aug 31, 2011·World Journal of Gastroenterology : WJG·Haig Dudukgian, Herand Abcarian
Jan 9, 2015·International Journal of Colorectal Disease·F CadedduG Milito
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Jun 18, 2017·Techniques in Coloproctology·Jeremy SugruePhilip J Tozer
Nov 10, 2011·Diseases of the Colon and Rectum·Scott R SteeleUNKNOWN Standards Practice Task Force of the American Society of Colon and Rectal Surgeons
Feb 12, 2019·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A SanadR Ellaithy
May 1, 2009·Journal of Biomolecular Screening·Sylvie VeniereAnja Lambrechts
May 19, 2012·Journal of the Korean Society of Coloproctology·Bhupendra Kumar JainDebajyoti Mohanty
Apr 14, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·N E SamalaviciusA Dulskas
Sep 5, 2018·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G WilliamsC Maxwell-Armstrong
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Oct 15, 2020·International Journal of Colorectal Disease·Shaheel Mohammad SaheballyDeborah McNamara

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