Monday, 19 November 2012

Traditional Chinese surgery proves superior and less invasive than fistulotomy


A traditional Chinese surgical treatment known as suture dragging combined with pad compression for anal fistulae with secondary tracks and abscess is safe, effective and less invasive.
Surgery is one of the most effective therapies for anal fistulae. More and more surgeons begin to seek less invasive therapies. However, classical procedures such as fistulotomy and fistulectomy, may produce complications such as longer healing time, larger defects, and higher risk of incontinence when dealing with fistulae with secondary tracts or abscess. In China, traditional Chinese surgical method suture dragging combined with pad compression (SDPC) has been used to treat anal fistulae and achieved good results.
In a new  study researchers from the Department of Anorectal Surgery, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,
 have shown that the traditional Chinese surgical method SDPC is safe, effective and less invasive, and they suggest that it could be used as an alternative to the treatment of complex anal fistulae.
In the study, 60 patients with intersphincteric or transsphincteric anal fistulas with secondary tracks and abscess were randomly divided into study group [suture dragging combined with pad compression] and control group [fistulotomy].
The time of healing was significantly shorter (24 days vs 31 days) and the patient satisfaction score at one month postoperative follow-up was significantly higher in the SDPC group.
Maximum postoperative pain scores were 5.83 in SDPC vs 6.37  with fistulotomy and the recurrence rates were 3.33 in SDPC vs 0 in fistulotomy patients.

Read more: World Journal of Gastroenterology

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