Risk factors for the recurrence of perineal canal
- 1 Downloads
The aim of this study was to investigate risk factors for recurrence in the perineal canal (PC).
Patients with PC who underwent operations were enrolled in this study and were divided into recurrence and non-recurrence groups. Preoperative infection, the age at the operation, the presence of colostomy and the treatment procedure for fistula were retrospectively investigated. Regarding the treatment procedure for fistula, either closure of the rectal wall with stitches or ligation of fistula in the rectum was performed. These factors were compared between the two groups.
Six of 17 patients with PC who underwent surgical treatment had recurrence. There were no significant differences in the incidence of preoperative infection, age at operation or presence of colostomy (p = 0.60, 0.38, 1.00, respectively). In the recurrence group, all patients were treated by closure of the rectal wall. In the non-recurrence group, five were treated by the closure of the rectal wall with stitches and six by ligation of the fistula. There was a significant association between recurrence and the treatment procedure for fistula (p = 0.04).
Closure of the rectal wall with stitches is a risk factor for the recurrence of PC.
KeywordsPerineal canal Vestibulo-anal pull-through Ligation of fistula Risk factor for recurrence
This research received no specific grants from any funding agency in the public, commercial, or not-for-profit sectors.
Compliance with ethical standards
Conflict of interest
The authors declare no conflicts of interest in association with the present study.
- 2.Wu YM, Wang CD, Fan LV et al (2015) The surgical management of H-type rectovestibular fistula: a novel modification. Eur J Pediatr Surg 2016(26):336–339Google Scholar