Articles Vol. 66 No. CĐ14-HNKH BV Giao thông Vận tải 12/01/2026

22. EVALUATION OF THE RESULTS OF CARE OF PATIENTS WITH COMPLICATED ANAL FISTAKE WOUNDS IN THE JOURNAL OF GENERAL SURGERY, TRANSPORTATION HOSPITAL, 2024

Do Manh Quyen1,2, Nguyen Minh Ngoc1,2, Tran Thi Luan1,2
1 Transport Hospital
2 Bệnh viện Giao thông vận tải
Corresponding author: manhquyen838@gmail.com
DOI: 10.52163/yhc.v66iCD14.3075
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Abstract

This descriptive case series included three adult men with recurrent complex fistula-in-ano managed in the Department of General Surgery, Transport Hospital. Preoperative pelvic MRI mapped fistula tracts; sphincter-preserving surgery (selective fistulotomy and staged seton for horseshoe tracts) was performed, followed by standardized ERAS-based postoperative care. Early outcomes were favorable with a hospital stay of approximately 7–8 days, no fecal incontinence, and no early recurrence at 1-month follow-up; wounds healed satisfactorily. MRI-guided, sphincter-sparing surgery combined with ERAS appears feasible and effective in the short term; larger cohorts with longer follow-up are warranted.

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