Application of Disposable Detachable Soft Injection Probe for Internal Mucosal Suturing in the Treatment of High Simple Anal Fistula
10.3969/j.issn.1009-6604.2025.04.011
- VernacularTitle:应用一次性分解式软质注射探针行内口黏膜缝合治疗高位单纯性肛瘘
- Author:
Lei MA
1
;
Guangyu LIU
1
;
Dandan ZHANG
1
Author Information
1. 枣庄市立第四医院外科,枣庄 277599
- Publication Type:Journal Article
- Keywords:
Mucosal suturing of the internal orifice;
High simple anal fistula
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(4):249-252
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the therapeutic effect of a patented disposable detachable soft injection probe(DDSI probe)for mucosal suturing of the internal orifice in the treatment of high simple anal fistula.Methods From January 2020 to December 2023,12 cases of high simple anal fistula were selected.The DDSI probe was used to accurately locate the internal orifice of the anal fistula.The fistula tract was excised,and the mucosa of the internal orifice was sutured.The time for internal orifice exploration during surgery,Visual Analogue Scale(VAS)scores for pain at 1,3,and 7 d postoperatively,Wexner incontinence scores at 1 month postoperatively,and recurrence rate at 12 months postoperatively were observed.Results The time for internal orifice exploration ranged 2-5 min,with an average of 3.2 min.On postoperative day 1,the VAS scores were 0 in 2 cases,1 in 4 cases,2 in 5 cases,and 3 in 1 case.On postoperative day 3,the VAS scores were 0 in 2 cases,1 in 9 cases,and 2 in 1 case.On postoperative day 7,the VAS scores were 0 in 9 cases and 1 in 3 cases.At 1 month postoperatively,the Wexner incontinence scores were 0 in 10 cases and 1 in 2 cases.Eleven cases were cured,and 1 case recurred(diagnosed at 12 months after surgery).Conclusion The DDSI probe for internal orifice exploration,combined with fistula tract excision and mucosal suturing of the internal orifice,shows satisfactory therapeutic effects in the treatment of high simple anal fistula.
