Identification of factors affecting the outcome of transanal advancement flap repair for high transsphincteric fistulas

摘要: textabstractA fistula is defined as an abnormal communication between two epithelium lined surfaces. Perianal fistulas are communications the anal canal and perianal skin. Perianal have been treated since ancient times. Probably first to describe the diagnosis treatment of was Sushruta around 600 BC. Around 430 BC, Hippocrates (460-370 BC) described in more detail. It remarkable that some his guidelines carry worldwide popularity up today. The estimated incidence of perianal varies 0.86 2.32 per 10,000/year. There a male predominance with reported male-to-female-ratio varying from 2:1 5:1 2. The maximum third fifth decades life . Perianal account for substantial discomfort morbidity patient although many easily recognized treated, others can be complex difficult treat.