Abstract
Background: The abscesses and anal fistulas represent about 70% of perianal suppuration, is represented by abscesses & anal fistulas and has 5% of queries in coloproctology. Its incidence is 1/1000inhabitants per year.
Aims: To assess the interesphincteric ligation technique of the fistulous tract in the treatment of anal fistula.
Methods: The records of 16 patients who underwent this technique, evaluating age, gender and presence of incontinence were studied.
Results: 4 patients were men and 12 women. The mean age was 42.8 years. Of these, 7 (87.5%) had complete healing of the fistula; 6 were cured only with this procedure and 1 required additional operation with simple fistulotomy. Only 1 patient developed fecal incontinence which was documented by anorectal manometry. There were no deaths.
Conclusion: the interesphincteric ligation technique of the fistulous tract proved to be effective for the treatment of anal fistula and has eventual fecal incontinence.
Keywords: Anal fistula, Fecal incontinence, Surgery.
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Corresponding Author
Dr Sukesh Kumar
PGT, General Surgery Department, Katihar Medical College Katihar
DOI: https://dx.doi.org/10.18535/jmscr/v8i7.79
