KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ RÒ HẬU MÔN PHỨC TẠP TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objective: To evaluate the results of surgical treatment for complex anal fistula (CAF) at Thai Nguyen National Hospital from 2018 to 2023. Methodology: A cross-sectional descriptive study was conducted on 67 patients with CAF at Thai Nguyen National Hospital. Results: The average age was 43.15 ± 18.07 years; 76.1% were male. Type IIb fistulas accounted for 82.1%, and type IIc fistulas was 17.9%. The surgical method of complete fistula excision and partial sphincterorrhaphy was 82.1%; while fistula excision combined with Seton placement was 17.9%. Postoperative bleeding complications was 49.3%; 98.5% had anal continence at level 0; 97.0% reported mild postoperative anal pain. The average hospital admission time was 6.82 ± 3.63 days. The rate of fistula closure after three- month postoperative was 100%; average time to closure was 9.66 ± 9.84 weeks. Anal stenosis occurred was 4.5%; fistula recurrence was 9.0%. Surgical result at good level was 89.6%; moderate level10.4%. Conclusion: The results of surgical treatment for CAF at Thai Nguyen National Hospital from 2018 to 2023 achieved high success rate.