Effect of modified TROPIS operation and open and hanging operation on high anal fistula and its effect on postoperative recovery and function
10.3760/cma.j.cn115807-20240729-00253
- VernacularTitle:改良TROPIS手术与切开挂线术治疗高位肛瘘的疗效及对术后功能恢复的影响
- Author:
Changliang CHEN
1
;
Guodan JIANG
1
;
Huifeng LIU
1
;
Xiaojuan ZHOU
1
;
Nan LI
1
Author Information
1. 首都医科大学附属北京潞河医院普外科，北京 101100
- Publication Type:Journal Article
- Keywords:
Modified TROPIS operation;
Incision and hanging technique;
High anal fistula;
Anal function
- From:
Chinese Journal of Endocrine Surgery
2025;19(1):106-109
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of modified TROPIS surgery, incorporating both open and hanging stitches on the treatment of elevated anal fistula.Methods:For our study, 92 patients with high anal fistula, admitted between Jan. 2023 and Jun. 2024, were selected. They were divided into two categories: the observation group (45 modified TROPIS surgery) and the control group (47 cuts) ,to observe the clinical efficacy, postoperative recovery, quality of life and complications of the two groups.Results:Compared with the control group, the operation time, intraoperative blood loss and postoperative hospitalization time decreased in the observation group ( P<0.05) . Compared with the control group, the healing time of anal fistula in the observation group was (28.01±5.02) d, shorter than that in the control group (35.05±7.09) d, the healing rate was 97.78%, higher than that in the control group (80.85%) , and the recurrence rate was 4.44%, lower than that in the control group (19.14%) ( P<0.05) . The degree of postoperative pain and Wexner anal incontinence score in the observation group were lower than those in the control group ( P<0.05) . The life quality score of the observation group was higher than that of the control group ( P<0.05) . The complication rate of observation group was lower than that of control group ( P<0.05) . Conclusions:The modified TROPIS surgical method evidently provides advantages in anal fistula treatment. It can not only efficiently eliminate infections but also reduce anal movements and decrease the chances of post-surgical injuries and complications, presenting enhanced clinical options and suggesting a promising outlook for traditional anal fistula surgery.
