심부 마제형 치루에서 변형 핸리술식 중 자가 세척이 가능한 시톤의 유용성
Self-pulsed Washable Seton during a Modified Hanley Operation for a Deep Horseshoe Fistula
최동휘, 김현성, 오남건, 서형일,
소속 상세정보
최동휘 ( Choi Dong-Hwi )
하나병원 화상센터 외과
김현성 ( Kim Hyun-Sung )
부산대학교 의학전문대학원 외과학교실
오남건 ( Oh Nahm-Gun )
부산대학교 의과대학 외과학교실
서형일 ( Seo Hyung-Il )
부산대학교 의과대학 외과학교실
KMID : 0356720080240040246
Abstract
Purpose: The modified Hanley technique, which is used for treatment of a deep horseshoe fistula, has reduced damage to the external anal sphincter compared to the classic Hanley technique, but its shortcoming is that it causes inconvenience to the patient due to the fact that a drainage tube must be left in place for a long time. To solve this problem, the authors devised a self-pulsed washable seton and then compared the results of its use to determine its clinical usefulness.
Methods: The subjects of this study were 34 patients who were diagnosed with a deep posterior complex anal fistula and who were operated on by using the modified Hanley technique between January 1999 and December 2004. Twelve patients who were treated with the self-pulsed washable seton were classified as Group A, and 12 patients who were treated by using a conventional loose seton were placed in Group B. These two groups were compared for period of purulent discharge, period of leaving the seton alone, and recurrence rate.
Results: The period of purulent discharge was 18.75 days (15∼24) for group Aand 29.75 days (24∼37) for group B. The period of leaving the seton was 21.58 days (18∼29) for group A and 32.58 days (28∼39) for group B. The recurrence rate after surgery was 8.3% in group A and 16.7% in group B.
Conclusions: The self-pulsed washable seton devised by the authors shortened the treatment period through more effective wound management, so we propose using it as a new method for treating a deep posterior horseshoe fistula. J Korean Soc Coloproctol 2008;24:246-251
키워드
심부마제형치루;자가세척시톤
Deepposteriorhorseshoefistula;Self-pulsedwashableseton
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