karya j health sci

Karya Journal of Health Science

2717-9540

Kılıçhan BAYAR

10.52831/kjhs.1744101

Gastroenterology and Hepatology

Gastroenteroloji ve Hepatoloji

FİSTÜLOTOMİ VEYA SETON FONKSİYONELLİĞİ AZALTIR MI? RETROSPEKTİF KARŞILAŞTIRMA

DOES FISTULOTOMY OR SETON REDUCE FUNCTIONALITY? A RETROSPECTIVE COMPARISON

https://orcid.org/0000-0001-9056-2696

Demirci

İpar Selin

SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL HAYDARPAŞA NUMUNE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ

https://orcid.org/0000-0003-0748-3458

Şahin

Samet

MUĞLA SITKI KOÇMAN ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ

04 28 2026

7 1 1 6 07 16 2025 10 31 2025

2020

Karya Journal of Health Science

Amaç: Anal kanal ile perianal cilt arasında oluşan anormal traktlar olan anal fistüller sıklıkla cerrahi müdahale gerektirmektedir. Çalışmamızda düşük transsfinkterik anal fistül tanısı alan hastalarda fistülotomi veya seton uygulaması sonrası preoperatif ve postoperatif ağrı ile fonksiyonel bozukluk değerlendirildi.Yöntem: Retrospektif bir kohort çalışmasıyla 1 Ocak 2022-1 Aralık 2024 tarihleri arasında Muğla Eğitim ve Araştırma Hastanesi’nde tedavi edilmiş hastalar incelendi. Önceden proktolojik cerrahi öyküsü olanlar, kompleks fistüller veya fonksiyon kaybına neden olabilecek eşlik eden hastalıkları bulunan hastalar dışlandı. Hastaların ağrı ve fonksiyonları, Visual Analog Skala (VAS) ve Dünya Sağlık Örgütü Yetiyitimi Değerlendirme Çizelgesi 2.0 (WHODAS 2.0) ile preoperatif, postoperatif 1. hafta ve 1. ayda değerlendirildi.Bulgular: Altmış iki fistülotomi, 55 seton olmak üzere toplamda 117 hasta çalışmaya dahil edildi. VAS skoru 1. haftada fistülotomi grubunda anlamlı şekilde artarken, 1. ayda ise belirgin azaldı (p0.05). Postoperatif birinci haftada ve birinci ayda değerlendirilen WHODAS 2.0 toplam skoru ve alt ölçeklerinden hareket, yaşam aktiviteleri, topluma katılma fistülotomi grubunda anlamlı şekilde arttı (p

Objective: Anal fistulas, abnormal tracts that form between the anal canal and the perianal skin, frequently require surgical intervention. In our study, we evaluated preoperative and postoperative pain and functional impairment after fistulotomy or seton placement in patients diagnosed with low transsphincteric anal fistulas.Method: A retrospective cohort study was conducted on patients treated at Muğla Training and Research Hospital between January 1, 2022, and December 1, 2024. Patients with a history of proctologic surgery, complex fistulas, or concomitant diseases that could cause functional loss were excluded. Patients' pain and function were assessed preoperatively at 1 week, and 1 month postoperatively using the Visual Analog Scale (VAS) and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).Results: A total of 117 patients were included in the study: 62 fistulotomies and 55 setons. The VAS score increased significantly in the fistulotomy group at week 1 and decreased significantly at month 1 (p0.05). The WHODAS 2.0 total score and its subscales, including mobility, activities of living, and community participation, assessed at 1 week and 1 month postoperatively, increased significantly in the fistulotomy group. (p

Postoperative Pain Rectal Fistula Quality of Life

Postoperatif Ağrı Rektal Fistül Yaşam Kalitesi

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