PMID- 34991417
OWN - NLM
STAT- MEDLINE
DCOM- 20220602
LR  - 20220602
IS  - 1521-0553 (Electronic)
IS  - 0894-1939 (Linking)
VI  - 35
IP  - 6
DP  - 2022 Jun
TI  - Jump Technique versus Seton Method for Anal Fistula Repair: A Randomized 
      Controlled Trial.
PG  - 1217-1223
LID - 10.1080/08941939.2021.2022252 [doi]
AB  - BACKGROUND: The treatment of anal fistula has been a conundrum for surgeons over 
      the years. Various methods such as fistulotomy, fistulectomy, seton, ligation of 
      the intersphincteric fistula tract (LIFT), advancement flaps, fibrin glue, and 
      plugs are well-known techniques. Yet, they may be followed by several 
      considerable complications, including incontinency and recurrence. METHODS: In 
      this study, the outcomes of the "Jump" and "Seton" techniques are compared. A 
      randomized controlled trial consisting of 130 cases with cryptoglandular anal 
      fistula randomly sorted into two groups was conducted. Group A underwent the 
      "Jump technique" while group B underwent the "Seton technique." Outcomes, 
      incontinency and recurrences in particular, were evaluated after a year of 
      treatment. Data were analyzed by Fisher Exact, Chi-Square and Mann Whitney Tests. 
      RESULTS: Group A with 65 cases underwent the "Jump technique" while group B with 
      65 cases underwent the "Seton Method." Recurrence was reported in 12 (20%) cases 
      in group A and 10 (15.6%) cases in group B (p = 0.687). Overall incontinence was 
      reported in 3 (4.6%) cases in group A and 18 (27.7%) cases in group B (P 
      = 0.001). The total St. Mark's scores for incontinency of group A (0.092 +/- 0.52) 
      and group B (1.8 +/- 02.47) significantly differed (p < 0.001). CONCLUSIONS: The 
      "Jump technique", named after a runner who jumped over hurdles, has obviated 
      these complications. The "Jump technique" had satisfactory results and can be 
      utilized as a first-line approach for all types of fistulas. Moreover, it can be 
      redone for cases with recurrences without affecting the continence, paving the 
      way to change the technique during operations.
FAU - Khoshnevis, Jalaluddin
AU  - Khoshnevis J
AD  - General Surgery Department, Shohadaye Tajrish Medical Center, Shahid Beheshti 
      University of Medical Sciences, Tehran, Iran.
FAU - Cuomo, Roberto
AU  - Cuomo R
AD  - Plastic and Reconstructive Surgery Division, Department of Medicine, Surgery and 
      Neuroscience; ''Santa Maria alle Scotte" Hospital, University of Siena, Siena, 
      Italy.
FAU - Karami, Farzaneh
AU  - Karami F
AD  - General Surgery Department, Shohadaye Tajrish Medical Center, Shahid Beheshti 
      University of Medical Sciences, Tehran, Iran.
FAU - Dashti, Terifeh
AU  - Dashti T
AD  - Clinical Research Development Center of Shohadaye Tajrish Hospital, Shahid 
      Beheshti University of Medical Sciences, Tehran, Iran.
FAU - Kalantar Motamedi, Alireza
AU  - Kalantar Motamedi A
AD  - General Surgery Department, Iran University of Medical Sciences, Tehran, Iran.
FAU - Kalantar Motamedi, Mohammadreza
AU  - Kalantar Motamedi M
AD  - General Surgery Department, Shohadaye Tajrish Medical Center, Shahid Beheshti 
      University of Medical Sciences, Tehran, Iran.
FAU - Azargashb, Eznollah
AU  - Azargashb E
AD  - Community Medicine Department, Shahid Beheshti University of Medical Sciences, 
      Faculty of Medicine, Tehran, Iran.
FAU - Aryan, Negaar
AU  - Aryan N
AD  - General Surgery Department, Shohadaye Tajrish Medical Center, Shahid Beheshti 
      University of Medical Sciences, Tehran, Iran.
FAU - Sadeghi, Payam
AU  - Sadeghi P
AD  - Plastic Surgery Department, Cleveland Clinic, Cleveland, OH, USA.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20220106
PL  - United States
TA  - J Invest Surg
JT  - Journal of investigative surgery : the official journal of the Academy of 
      Surgical Research
JID - 8809255
SB  - IM
MH  - Anal Canal
MH  - Humans
MH  - Ligation/adverse effects/methods
MH  - *Rectal Fistula/etiology/surgery
MH  - Recurrence
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Jump technique
OT  - Seton technique
OT  - anal fistula
EDAT- 2022/01/08 06:00
MHDA- 2022/06/03 06:00
CRDT- 2022/01/07 05:36
PHST- 2022/01/08 06:00 [pubmed]
PHST- 2022/06/03 06:00 [medline]
PHST- 2022/01/07 05:36 [entrez]
AID - 10.1080/08941939.2021.2022252 [doi]
PST - ppublish
SO  - J Invest Surg. 2022 Jun;35(6):1217-1223. doi: 10.1080/08941939.2021.2022252. Epub 
      2022 Jan 6.