In a study involving 72 patients with high anal fistula, cutting of the intersphincteric space (cois) significantly reduced wound healing time to 35.75 days compared to 55.69 days for cutting seton (cs) (p<0.001). Cois demonstrated superior surgical outcomes, including higher anal resting and maximum contractile pressures at three months post-operation, and a lower Wexner incontinence score (0.50 vs. 3.00, p<0.001). Both techniques showed similar low recurrence rates, highlighting cois as an effective treatment option.
Journal Article by Qin J, Wu Y (…) Sun Y et 5 al. in J Am Coll Surg
Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American College of Surgeons.