Surgery for Fistula in Ano ( Simple or Complicated)- Our Experience

Dr. Saravana Bhoopathi Palanichamy; Dr. A. Benet Duraisamy; Dr.A. Sivashankar

Volume : VII, Issue : XI, November - 2018

Surgery for Fistula in Ano ( Simple or Complicated)- Our Experience

Dr. Saravana Bhoopathi Palanichamy, Dr. A. Benet Duraisamy, Dr. A. Sivashankar

Abstract :

Introduction: The treatment of fistula in ano, a chronic sepsis of cryptoglandular origin is primarily surgical. Morbidity of the treatment is mainly recurrence and incontinence. Aim : To study the demographic profile of the patients with fistula in ano, analyze various aspects of fistula , to review our experience and postoperative outcome. Material and methods: Prospective observational study conducted between January 2016 to August 2018 in surgical gastroenterology department Government Mohan Kumara Mangalam Medical College Hospital, Salem. Fistulectomy , fistulectomy with seton or drainage with scooping for submucous type was done and results were analyzed. Results : Mean age of the study group was 43 years and mean follow up duration was 14 months. Recurrence was noted in three(4.6%) and incontinence was present in four(6.1%) .Conclusion: Fistulectomy either alone or with cutting seton is a safe procedure for the treatment of fistula in ano . Incidence of incontinence was more with recurrent, multiple fistula in males and anterior fistula in females.