Cutting of the Intersphincteric Space for High Anal Fistula: Functional Preservation and a Predictive Model for Postoperative Anal Incontinence

Key Points

• The research aims to optimize surgical techniques for high anal fistula while preserving sphincter function and predicting postoperative outcomes.
• Implementation of the cutting of the intersphincteric space technique for high anal fistula
• Integration of systemic biomarkers into a predictive model
• Assessment of postoperative anal incontinence outcomes
• Successful balance between radical cure and preservation of sphincter integrity
• Effective risk assessment model based on metabolic and inflammatory profiles
• Guidance for personalized surgical decision-making