Perianal Fistula
Conditions
Keywords
recto-perineal ultrasound, perianal fistula, trans-sphincteric
Brief summary
Perianal fistula is a common anal problem. It needs only surgery. MRI is the best preoperative diagnostic tool, but it is demanding as it is expensive, time consuming and needs an experienced radiologist. So, we tried to find an alternative diagnostic tool which is cheaper, time saving and accurate and comparing its preoperative reports with intraoperative findings. study was held in surgery department in Zagazig University Hospitals from September 2023 to March 2024. It included 93 patients with perianal fistula who were diagnosed clinically and radiological by trans recto-perineal ultrasound and comparing pre-operative ultrasound findings with intra-operative surgical findings.
Interventions
None listed
Sponsors
Zagazig University
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Perianal abscess and\\or fistula * Patients who accidently discovered during transvaginal ultrasound. * Age group between above 18 years old
Exclusion criteria
* Informed consent refusal. * Proved anal malignancy. * Patients less than 18 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| abscess cavity | from 2 to 3 days pre-operative and intraoperatively | presence or absence of abscess cavity was assessed in ultrasound and intraoperative |
| Internal opening | from 2 to 3 days pre-operative and intraoperatively | presence and site of internal opening was assessed by digital rectal examination and utrasound |
| fistula branches | from 2 to 3 days pre-operative and intraoperatively | presence of fistula branches and their number were assessed by ultrasound and during surgery |
| type fistulous tract | from 2 to 3 days pre-operative and intraoperatively | type of fistula was detected in relation to anal sphincters by ultrasound and intraoperative |
| age | from 2 to 3 days before operation | age of patient was recorded in years |
| sex | from 2 to 3 days before surgery | sex of patients was recorded as male or female |
| body mass index | from 2 to 3 days before surgery | patient BMI was recorded by dividing weight in kg by length square in meters |
| history of abscess drainage | from 2 to 3 days before surgery | history of perianal abscess was recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| external openings | from 2 to 3 days pre-operative and intraoperatively | number and site of external openings was assessed by clinical and radiological examination |
| anal discharge | from 2 to 3 days before surgery | presence or absence of anal discharge, its color, odor and viscosity were assessed by history of soiling underwear and clinical examination by soiling of gloves or direct vision of discharge during digital rectal examination |
| other anal disease | from 2 to 3 days before surgery | presence or absence of other anal disease like anal fissure, piles or inflammatory bowel disease from medical records of the patients |
Countries
Egypt
Outcome results
None listed