A Clinico-Pathological Study of Fistula-in-Ano

B, Hemant Janugade; Tata, Neville Hoshedar; Ashar, Shaikh; H, Deepali Janugade; Kamboj, Parag

doi:10.14260/jemds/2016/1446

Cited by 1 publication

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References 10 publications

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“…2 Despite the ease of diagnosis establishing a cure is problematic due to, significant percentage of cases persisting or recurring when the right modality of surgery is not adopted. 3 Due to the lack of a single appropriate technique for the treatment of fistula-in-ano, treatment must be navigated by the surgeon's experience and judgement. The surgeon has to keep in mind the trade-off between the extent of sphincter division, postoperative healing rate, and functional loss.…”

Section: Introductionmentioning

confidence: 99%

A comparative study between fistulotomy and fistulectomy in management of low anal fistulae

Ganesan

Karunakaran²,

Anandan

2017

Int Surg J

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Background: Fistula in ano is a silent menace in human beings, the treatment is a challenging one even for experienced surgeons, fistula in ano forms a good majority of treatable benign lesions of rectum and anal canal. Aim was to study the efficacy of fistulotomy and fistulectomy in the treatment of low anal fistulae.Methods: A randomized control study was conducted to compare fistulotomy with fistulectomy in patients with low anal fistulae.Results: The operating time in fistulotomy group was 12.13minutes±2.11minutes and in fistulectomy group was 22.23±3.36minutes. The post-surgery hospital stays in Group I was 1.80±0.66days and in Group II was 2.60±0.563 days. The wound healing time in Group I was 24.20±2.95 days which was considerably less when compared to patients in Group II where it was 31.50±4.34 days.Conclusions: Fistulotomy has a slight edge over fistulectomy in the treatment of low anal fistulas since it has shorter operating time, less post-operative pain, less complications, quicker wound healing time, less incontinence and a comparable recurrence rate.

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Section: Introductionmentioning

confidence: 99%