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KMID : 0371319920420040533
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Journal of the Korean Surgical Society
1992 Volume.42 No. 4 p.533 ~ p.536
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Muscle Flap Rotation Technique and Hanley'w Procedure for Horseshoe Fistula
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Abstract
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Over a 3-year period 66 patients were treated consecutively for posterior horseshoe abscesses and fistulas. There were 12 patients with acute abscesses, 14 patients with chronic fistulas. Treatment consisted of Hanley's procedure(group A), and
fistulotomy with intracavitary muscle flap rotation and counter drainage(group B). The aims of the trial were to investigate the healing time in both groups, to analyse and compare the incidence of postoperative complications. Patients followed
from 6
months to 3 years with a mean follow-up of 18 months. The wound was observed daily in the first week and than twice weekly, till the complete healing was verified. As to the healing time it was varified a statistically significant difference
between
both groups: Where as for group A the rate healing time was of 58 days, for group B it was of 36 days. The incidence of postoperative complications were higher in group A.
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