Gracilis muscle interposition for complex perineal fistulas: A systematic review and meta-analysis of the literature.

Zoe GaroufaliaRachel GefenSameh Hany EmileEmanuela Silva-AlvarengaNir HoreshMichael R FreundSteven D Wexner

Published in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2022)

The gracilis muscle interposition technique is a viable treatment option for CPF. Surgeons should be familiar with indications and techniques to offer it as an option for patients. Given the relatively infrequent use of the operation, referral rather than performance of graciloplasty is an acceptable option.

Keyphrases

end stage renal disease
skeletal muscle
ejection fraction
systematic review
newly diagnosed
chronic kidney disease
primary care
peritoneal dialysis
prognostic factors
quality improvement
patient reported outcomes
combination therapy
genome editing