Risk factors for the recurrence of perineal canal
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In brief
In brief
Retrospective study of 17 perineal canal patients identifies surgical technique as key recurrence predictor. Fistula ligation showed superior outcomes compared to rectal wall closure with stitches, which was associated with 100% recurrence rate in this cohort.
Written by the GCMD Library team from the article.
Abstract
Purpose
The aim of this study was to investigate risk factors for recurrence in the perineal canal (PC).
Methods
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.
Results
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).
Conclusion
Closure of the rectal wall with stitches is a risk factor for the recurrence of PC.