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©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Oct 28, 2024; 16(10): 552-560
Published online Oct 28, 2024. doi: 10.4329/wjr.v16.i10.552
Published online Oct 28, 2024. doi: 10.4329/wjr.v16.i10.552
High complex anal fistula managed by the modified transanal opening of the intersphincteric space via the inter-sphincteric approach: A case report
Ya-Qun Wang, Yan Wang, Qiao-Jing Yan, Xue-Ping Zheng, Anorectal Disease Center, Jiangsu Province traditional Chinese Medicine Innovation Center for Anorectal Disease, Nanjing 211000, Jiangsu Province, China
Ya-Qun Wang, Department of Anorectal Surgery, Zhenjiang Hospital Affiliated to Nanjing University of Chinese Medicine (Zhenjiang Hospital of Traditional Chinese Medicine), Zhenjiang 212000, Jiangsu Province, China
Yan Wang, Department of Anorectal Surgery, Yangzhou Jiangdu Hospital of Traditional Chinese Medicine, Yangzhou 225200, Jiangsu Province, China
Xiao-Feng Jia, Department of Imaging, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing 211000, Jiangsu Province, China
Qiao-Jing Yan, Xue-Ping Zheng, Colorectal Disease Center, Nanjing Hospital of Chinese Medicine affiliated to Nanjing University of Chinese Medicine, Nanjing 210000, Jiangsu Province, China
Co-corresponding authors: Qiao-Jing Yan and Xue-Ping Zheng.
Author contributions: Wang YQ and Wang Y were responsible for clinical data collection, patient postoperative management and manuscript writing; Jia XF was assigned for imaging guidance and preoperative evaluation; Yan QJ and Zheng XP were responsible for the development of the patient's surgical plan and treatment, leadership responsibility for the research activity planning. All authors reviewed the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qiao-Jing Yan, PhD, Doctor, Colorectal Disease Center, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Daming Road, Nanjing 210000, Jiangsu Province, China. njlf666@163.com
Received: April 26, 2024
Revised: September 8, 2024
Accepted: September 13, 2024
Published online: October 28, 2024
Processing time: 185 Days and 4.3 Hours
Revised: September 8, 2024
Accepted: September 13, 2024
Published online: October 28, 2024
Processing time: 185 Days and 4.3 Hours
Core Tip
Core Tip: High complex anal fistulas are a type of perianal infectious diseases barely to spontaneously heal. Surgical procedures usually impair the anal function. Trans-anal opening of inter-sphincteric space (TROPIS) is an effective surgical procedure to treat high anal fistulas, although there exist demerits. We created a modified TROPIS via polishing up the surgical approach, identification of internal opening and management of fistulas, which greatly simplified the surgical procedures, and largely reduced postoperative complications. We believed that the modified TROPIS is suitable for treating high complex anal fistulas in Asian people with a narrower anal canal.