A comparative study of laying open of wound vs primary closure in low fistula in ano

Garag, Sushila; Nagur, Basavaraj

doi:10.18203/2349-2902.isj20192993

Cited by 1 publication

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“…An anal fistula (Fistula -in-ano) is an infected connection between the skin and the anal canal. It is a granulomatous tract, single or multiple external opening, which connects perianal skin to the epithelium of anal canal or rectum 14 .…”

Section: Introductionmentioning

confidence: 99%

Analysis of results of primary closure in fistula in ANO

Maurya¹,

Ahirwar²,

Hurmade³

et al. 2022

ijhs

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Aim: Prospective analysis of results of primary closure in fistula in ano in terms of (a) Immediate- Bleeding, perianal haematoma, pain, suture line dehiscence and healingperiod. (b) Later - Incontinence & reccurence rate and Patient’s compliance & feasibility of technique in NSCBMC Jabalpur. Methods: Prospective study was conducted in Department of Surgery, NSCB Medical College, Jabalpurbetween Aug. 2012 to Sept. 2013. Total 60 patients were taken and divided in two groups, group-A (30 patients) taken as case study in which pimary closure was done and group-B (30 patients) taken as control group in which open fistulectomy was done. Results: Majority of patients were 31 to 60 years (80%). More number of males than females. (M=93.3%, F=6.7%). Perianal Discharge (90%), Pain (56.7%) and Swelling (33.3%) were the main complaints. Fistula-in-ano with a single opening (83.3%) was the commonest occurrence and posterior opening (70%) situation was more common. Bleeding was seen in open method (group-B=30%) whereas none of the patients shows bleeding in primary closure technique (group-A). Perianal haematoma was more seen in open method (group-B=20%) compare to primary closure method (group-A=6.6%).

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Section: Introductionmentioning

confidence: 99%