Title: Comparative Study of Surgical Management of Low Fistula- In- Ano between Fistulotomy & Fistulectomy and Its Outcome
Authors: Dr Amit Mittal, Dr Sreeramulu P.N, Dr Shashirekha C.A, Dr Prakash Dave, Dr Srinivasan D, Dr Naveed Ahmed Khan
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.41
Abstract
Aims and Objectives: To evaluate and compare the outcomes of fistulectomy and fistulotomy in management of low fistula in ano.
Material and Methods: This prospective study was conducted in R.L Jalappa Hospital, Department of General surgery, Tamaka, Kolar from August 2016 to October 2017. This study included 75 patients of low fistula in ano admitted during the study period, out of these 38 patients underwent fistulotomy (group A) and 37 patients underwent fistulectomy (group B). The two techniques were compared in terms of post-operative pain, healing time, complication, hospital stay and recurrence.
Result: The average age of study group was 45 years with male preponderance. Post operative pain was for more days in group B (fistulectomy) patients as compared to group A(fistulotomy) patients.(Four) patients in group A (10.52%) had wound infection while 15 patients in group B (40.52%) had wound infection. Post-operative wounds in group A healed earlier in comparison to group B wounds. The mean hospital stay of group A was 2.86days , while for group B was 4.32 days. Anal incontinence was not noted in either of the groups. Recurrence developed in 2 patients out of 38 (5.3%) in fistulotomy group and 7 patients out of 37 (18.9%) in fistulectomy group.
Conclusion: Fistulotomy should be considered superior surgical procedure in the treatment of low lying fistula in Ano.
Keywords: Fistulectomy, Fistulotomy, Fistula-in-Ano.
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