I  骨盤直腸か痔ろうの診断と治療 5  骨盤直腸か痔ろうおよび各種手術術式と成績

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  • Pelviractal Fistulas and the Outcome of Various Surgical Treatment.

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Among 4, 281 cases of anorectal fistulas treated during the last 8 years, 136 cases were pelvirectal fistulas (3%), including Intersphincteric fistula : Extrarectal extension, Transsphincteric fistula : High blind, and supralevator penetration, Suprasphincteric fistula, and Extrasphincteric fistula. The male-to-female ratio was 14 : 1, and the average age was 46 years old. latrogenic high complicated fistulas and repeated surgical treatments were thought to be a major reason for the difficulty in dealing with pelvirectal fistulas. The overall recurrence rate was 19.9% (27 cases), and 10 cases underwent third or fourth treatment. Use of seton is a preferable choice for young proctologists encountering this type of complicated fistula, but experts can treat and cure a pelvicrectal fistula using various types of advancement flap repairs.

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