Antonio Brillantino, Francesca Iacobellis, Luigi Brusciano, Pasquale Giordano, Giulio Aniello Santoro, Iwona Sudol-Szopinska, Maurizio Grillo, Mauro Natale Maglio, Fabrizio Foroni, Alessio Palumbo, Maria Paola Menna, Carmine Antropoli, Ludovico Docimo, Adolfo Renzi
PURPOSE: To evaluate the impact of preoperative three-dimensional endoanal ultrasound (3D-EAUS) on the clinical outcome of anal fistula surgery. METHODS: The research consisted of multi-center retrospective case-control study including 253 consecutive adult patients undergoing surgery for confirmed or suspected primary fistula in ano who had undergone preoperative 3D-EAUS evaluation between January 2011 and January 2021. Main outcome measures were the concordance (K value) between ultrasound results and surgery in the identification of fistulas internal openings, primary tracts and secondary extensions and the 6 and 12 months success rate in patients with concordant and discordant findings...
September 30, 2023: Surgical Innovation