Predictor factors for success or failure of advancement anocutaneous flap closure of high fistula in ano

ABSTRACT

The fistula in ano is an ancient and common problem. Different methods of treatment evolved, but the ideal method up till now is not recognized because of the problems of recurrence and incontinence, specially in case of high fistula in ano. The aim of current study is to predict factors of success or failure of advancement ano cutaneous flap closure of high fistula in ano. or in other words to predict the patients who are suitable for treatment by this procedure. 30 cases with high fistula in ano were available for the study. 7 patients were shifted to another line of treatment because of inability to complete the procedure by the present procedure [2 cases with recurrent supra sphincteric fistulas, 2 cases with recurrent high anal fistulas, and case of suprasphincteric, ulcerative colitis fistula and two cases of suprasphincteric, crohn's disease fistulas], and the procedure was completed in the remaining 23 cases with neither recurrence, nor incontinence during the follow up period. In The procedure of ano cutaneous advancement flap closure of high fistula in ano is technically simple, comfortable to the patient, with neither recurrence nor incontinence, but unfortunately is suitable only for selected cases.