Retrospective and prospective study of clinical profile of fistula in ano

Bhargava, Rishabh; Sharma, Dinesh Dutt; Kataria, Subhash; Malviya, Ajay

doi:10.33545/surgery.2020.v4.i1a.301

Cited by 2 publications

(5 citation statements)

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“…7 Bhargav et al also found that out of 225 patients, maximum 40% number of patients were encountered in 41-50 years and 80% were males and 20% were females. 8 Male to female ratio was 4:1 which is exactly similar to our study findings. Whereas Gorden et al and Akhtar et al in their studies observed a slightly higher M:F ratio of 5.66:1.…”

Section: Age and Gendersupporting

confidence: 92%

“…Fever 9.3% and bleeding per rectum 2.6% were the least frequent complaints of the patients. 8 Memon et al also reported discharge from opening 90%, pain around anus 76.7% and swelling around anus 53.3% as the most frequent complaints of patients of fistula in ano. 13 Corman et al also reported discharge from opening to be the chief complaint 93.8% of patients with fistula in ano followed by pain around anus 79.8% and swelling around anus (56.7%).…”

Section: Presentationmentioning

confidence: 91%

“…Bhargav et al reported 80% of the patients had single external opening and 20% had multiple external openings. 8 Choen et al observed single external opening in 82.67% and multiple external openings in 17.33% of the patients. 14…”

Section: Fistula Openingsmentioning

confidence: 94%

“…47.1% of fistulae were inter-sphincteric, 35.5% trans-sphincteric, 9.8% suprasphincteric and 7.6% were extra-sphincteric. 8 Javitt et al reported that 80% of fistulae were low and 20% high. 52% of fistulae were inter sphincteric followed by trans sphincteric 33.3%, supra sphincteric 12% and extra sphincteric 2.7%.…”

Section: Clinical and Mri Diagnosismentioning

confidence: 99%

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Clinical and diagnostic profile of patients with anal fistula: a cross sectional study from Vilasrao Deshmukh Government Institute of Medical Sciences, Latur, Maharashtra

Mahakalkar¹,

Swami

Chandrashekhar

et al. 2020

Int Surg J

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Background: Anal fistulas are one of the commonest causes for a persistent discharge seropurulent in nature that irritates the skin in the neighbourhood and leads to discomfort. Fistula-in-ano is seen quite frequently in perirectal perianal suppuration. The objective of this study to study the clinical profile and diagnosis of anal fistula at surgical OPD of VDGIMS.Methods: The present cross-sectional observational study was carried out in patients with fistula-in-ano admitted at surgical department of VDGIMS, Latur during the period of 2017-19 in 50 diagnosed patients. Data was analysed by using SPSS 24.0 version IBM USA.Results: Majority of the patients with anal fistula were from 41-50 years age group i.e. 15 (30%) and males were predominantly affected 40 (80%) compared to females i.e. 10 (20%). Male to female ratio was 4:1. Perianal discomfort was the commonest symptom in all patients i.e. 100%. It is followed by perianal discharge complained by 54% and perianal itching in 38% cases. The anterior position of external opening is found to be significant (p<0.05). Fistulogram showed external opening in all patients i.e. 50 cases whereas internal opening in 46 (92%) cases. Findings of MRI revealed that anal fistula was intra sphincteric in 28 cases i.e. 56%, extra sphincteric in 2 cases i.e. 4% and trans sphincteric in 20 cases i.e. 40%.Conclusions: Commonest age group affected in our study was 40-50 years with male predominance. Perianal discomfort and discharge were the commonest symptom. E. coli was the predominant organism isolated. Fistulogram and MRI is useful in detecting the aetiology of fistula in ano.

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Section: Age and Gendersupporting

confidence: 92%

Section: Presentationmentioning

confidence: 91%

Section: Fistula Openingsmentioning

confidence: 94%

Section: Clinical and Mri Diagnosismentioning

confidence: 99%

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Clinical and diagnostic profile of patients with anal fistula: a cross sectional study from Vilasrao Deshmukh Government Institute of Medical Sciences, Latur, Maharashtra

Mahakalkar¹,

Swami

Chandrashekhar

et al. 2020

Int Surg J

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“…Fistula in ano is an abnormal connection lined with granulation tissue connecting anal skin to opening in the perianal skin. There could be multiple openings from a primary opening or separate secondary channels extending to perianal skin [1]. The most common presenting complain in this condition is seropurulent discharge and itching of perianal skin with discomfort.…”

Section: Introductionmentioning

confidence: 99%

A Video-Assisted Anal Fistula Treatment (VAAFT): A New Minimally Invasive Treatment Option for Fistula in Ano

Dal

Abro

Memon

et al. 2021

JPRI

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Objective: To determine the outcome of video-assisted anal fistula treatment (VAAFT): A new minimally invasive treatment option for fistula in ano. Study Design: This is an observational study. Setting: Study carried out at General Surgery department, Liaquat University of Medical and Health Sciences Jamshoro, form January 2020 to June 2020. Material & Method: Inclusion criteria for this study were patients aged 18-60 years visiting the outpatient department with primary/recurrent fistula having symptoms. Among these individuals having anal fistula due to secondary causes like IBD, tuberculosis or any malignancy were not included in the study. VAAFT was performed by experience general surgeon and post-operative follow up was done till 1 years. Results: A total of 68 patients with fistula in ano were selected for video assisted anal fistula treatment (VAAFT) in our setup. It included 67.6% (n=46) males and 32.3% (n=22) females who agreed for the procedure. The mean age of patients were found to be 43+13 years. Post-operatively complete healing was observed in 75% (n=51) patients and 14.7% patients had persistent fistula after the procedure. Conclusion: VAAFT is a minimally invasive surgical intervention implied to treat primary and recurrent anal fistulas, having lesser rates of recurrence and few post-operative complications. It should be implied over large scales for treatment of primary and recurrent anal fistula as it carries the lowest rate of anal incontinence.

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Retrospective and prospective study of clinical profile of fistula in ano

Cited by 2 publications

References 0 publications

Clinical and diagnostic profile of patients with anal fistula: a cross sectional study from Vilasrao Deshmukh Government Institute of Medical Sciences, Latur, Maharashtra

Clinical and diagnostic profile of patients with anal fistula: a cross sectional study from Vilasrao Deshmukh Government Institute of Medical Sciences, Latur, Maharashtra

A Video-Assisted Anal Fistula Treatment (VAAFT): A New Minimally Invasive Treatment Option for Fistula in Ano

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