{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T17:12:52Z","timestamp":1792689172347,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Management of fistula-in-ano is associated with recurrence and, occasionally, with anal incontinence. We investigated the clinical characteristics and outcomes of fistula-in-ano.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We included patients with fistula-in-ano managed at a tertiary care center (2016\u20132021). We collected clinical characteristics and 1-year outcomes using questionnaires. The chi-square test was used in statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 284 patients (231 men, 81.3%; median age 39.5 [range: 7\u201373] years) were included. Most patients had simple fistulae (n\u2009=\u2009191, 67.3%). Transphincteric (n\u2009=\u2009110, 38.7%) fistulae were the most common type, followed by intersphinteric fistulae (n\u2009=\u2009103, 36.6%). Fistulotomy (n\u2009=\u2009157, 55.3%) was the most common procedure. Follow-up details were traceable in 157 (55.3%) patients. At 1 year, the overall healing rate was 88.5% (n\u2009=\u2009136). There was no association between type of surgical procedure and incontinence. The mean Vaizey score, used to assess anal incontinence, was 0.84 (range: 0\u201314). Incontinence was observed in 32 patients (20.9%), and flatus incontinence was the most common type (n\u2009=\u200917, 53.1%). Complex fistulae were associated with higher recurrence rates than simple fistulae (32.6% vs. 2.8%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The healing rate in surgical treatment of fistula-in-ano was 88.5%, with acceptable complication rates. There was no association between surgical procedure type and incontinence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605231194516","type":"journal-article","created":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T11:50:21Z","timestamp":1694692221000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Characteristics and post-operative outcomes of surgery for fistula-in-ano managed at a tertiary care hospital in Sri Lanka: a retrospective study"],"prefix":"10.1177","volume":"51","author":[{"given":"Vinoprasath","family":"Shivakumar","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0398-5197","authenticated-orcid":false,"given":"Umesh","family":"Jayarajah","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dharmabandhu Nandadeva","family":"Samarasekera","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Colombo, Sri 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