Résumé
Objective: To evaluate the clinical effect of Maren Soft Capsule in the prevention and treatment of constipation after anorectal operation. Methods: Choosing 270 patients after anorectal operation which were randomly divided into treatment group with 135 cases and control group with 135 cases, oral administration of Maren Soft Capsule began at day 2 after the operation in the treatment group, twice daily, two capsules each time; while the control group was not given Maren Soft Capsule. Observation for 14 d after operation, the defecation time, defecation frequency, degrees of defecation difficulties and pain, bleeding, and infection were recoreded and statistically analized. Results: Maren Soft Capsule could improve the defecation time, defecation frequency, degrees of defecation difficulties and pain, bleeding, and infection after the operation. Conclusion: Taking Maren Soft Capsule has the good effect on preventing the occurrence of constipation after anorectal operation.
Résumé
<p><b>OBJECTIVE</b>To assess the treatment outcome of ligation of the intersphincteric fistula tract plus bioprosthetic anal fistula plug(LIFT-plug) for transsphincteric perianal fistulas.</p><p><b>METHODS</b>Clinical data of 36 patients with transsphincteric perianal fiftula who were managed by the LIFT-plug technique between November 2010 and February 2012 were analyzed retrospectively.</p><p><b>RESULTS</b>Clinical healing of the fistula, defined as the absence of drainage with no evidence of residual fistula tract, occurred in 34(94.4%) patients. The operative time ranged from 12 to 35 minutes(mean, 17 minutes). The median postoperative length of stay was 5 days. The median healing time was 18 days. No complications requiring intervention occurred. The postoperative follow up was at least 3 months and two patients had recurrence(5.6%).</p><p><b>CONCLUSIONS</b>LIFT-plug procedure for the management of transsphincteric perianal fistulas is simple with high healing rate, minimal invasiveness, quick healing, and without disturbance to anal function. LIFT-plug is an ideal procedure for intrasphinteric fistula.</p>