The effect of Preoperative Endoanal Ultrasound (EUS) assessment on the outcome of fistula in ano surgery in Hospital Tengku Ampuan Afzan /

This is a retrospective study investigating the effect of the concordance of preoperative EUS finding with the surgical finding on the recurrence rate of fistula in ano post surgical intervention. In this study the clinical and demographic data of thirty two patients who underwent preoperative EUS a...

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Bibliographic Details
Main Author: Ali, Ismail Ahmed (Author)
Format: Thesis
Language:English
Published: Kuantan, Pahang : Kulliyyah of Medicine, International Islamic University Malaysia, 2016
Subjects:
Online Access:Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library.
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040 |a UIAM  |b eng  |e rda 
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100 1 |a Ali, Ismail Ahmed,  |e author 
245 1 4 |a The effect of Preoperative Endoanal Ultrasound (EUS) assessment on the outcome of fistula in ano surgery in Hospital Tengku Ampuan Afzan /  |c by Ismail Ahmed Ali 
264 1 |a Kuantan, Pahang :  |b Kulliyyah of Medicine, International Islamic University Malaysia,  |c 2016 
300 |a xi, 32 leaves :  |b illustrations ;  |c 30cm. 
336 |2 rdacontent  |a text 
347 |2 rdaft  |a text file  |b PDF 
502 |a Thesis (MOS)--International Islamic University Malaysia, 2016. 
504 |a Includes bibliographical references (leaves 30-32). 
520 |a This is a retrospective study investigating the effect of the concordance of preoperative EUS finding with the surgical finding on the recurrence rate of fistula in ano post surgical intervention. In this study the clinical and demographic data of thirty two patients who underwent preoperative EUS and subsequent surgical intervention were examined. It showed that the concordance of preoperative EUS findings and the surgical findings has a role in decreasing recurrence rate. 86.7% of the concordance group had no recurrence while 13.3% of the non concordance group had no recurrence (P value = 0.01). There was no association between age and recurrence (OR, 0.949[95% CI, 0.896-1.005, P value 0.075]). Also there was no association between diabetes or smoking and recurrence (OR, 0.533[95% CI, 0.076-3.725, P value 0.526]) (OR, 2 [95% CI, 0.310-12.891, P value 0.466]) respectively. The fact that patient having previous surgery didn't influence the recurrence rate of the cohort of this study (OR, 2.250 [95% CI, 0.536-9.450, P value 0.268]). There was no association between locating the internal opening and recurrence rate in this study (OR, 0.232 [95% CI, 0.023-2.357, P value 0.217]). This concludes that the preoperative EUS is a useful tool in managing fistula in ano and decreasing recurrence rate. 
596 |a 1 6 
610 |a Hospital Tengku Ampuan Afzan 
655 7 |a Theses, IIUM local 
690 |a Dissertations, Academic  |x Department of Surgery  |z IIUM 
710 2 |a International Islamic University Malaysia.  |b Department of Surgery 
856 4 |u https://lib.iium.edu.my/mom/services/mom/document/getFile/j7zQaj3NDqO05pAXFA6EjebDVNfbm6MM20180515101340705  |z Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. 
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