ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ RÒ HẬU MÔN TÁI PHÁT TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Background: To be able to better evaluate the results of surgery to treat recurrent anal fistula in the Mekong Delta region, we conducted research on this topic. Objective: Evaluate the results of treatment for recurrent anal fistula at Can Tho Central General Hospital. Method: Retrospectively describes over 80 patients who have been operated on at least once and have not yet recovered (including patients with previous surgeries at the lower level, and patients with abscess incisions) and were diagnosed. Identify abscesses and anal fistulas. Results: Fistula classification: 72.4% sphincter oblique fistula, 21.3% simple abscess, 6.3% complex fistula. The majority of cases (86.3%) had to use regular painkillers, a small percentage (7.4%) had to use morphine to relieve pain. Most cases of fecal incontinence (93.7%) are at level 1 (mild) and at level 2 (6.3%). 12.4% had bleeding after surgery but did not need surgery and 1 case (1.3%) had bleeding and had to be re-operated. To treat urinary retention after surgery (with 9 cases), the majority (77.8%) used hot compresses and 22.2% required a urinary catheter. 81% achieved good results and 19% achieved average results, with no cases of poor results. Conclusion: It is necessary to choose the appropriate surgical method for each type of anal fistula and the conditions of each hospital level to increase treatment effectiveness. The treatment method for recurrent anal fistula is quite safe and effective, with a low complication rate. However, it should be noted that post-operative pain is still an issue that needs to be better controlled.