COMPARATIVE STUDY OF OUTCOME OF OPEN FISTULECTOMY VERSUS FISTULECTOMY WITH PRIMARY CLOSURE IN SINGLE LOW LEVEL ANAL FISTULA

Nitin R Nangare; Vinay N Baretha

Volume : VIII, Issue : VII, July - 2019

COMPARATIVE STUDY OF OUTCOME OF OPEN FISTULECTOMY VERSUS FISTULECTOMY WITH PRIMARY CLOSURE IN SINGLE LOW LEVEL ANAL FISTULA

Nitin R Nangare, Vinay N Baretha

Abstract :

Background: Fistula–in–ano is the most common problem of the ano rectal region in general population. Fistula usually follow suppuration of anal glands opening in the anal crypts. Objectives: To compare the study of outcome of open fistulectomy versus fistulectomy with primary closure in low level anal fistula. Material and Methods: A prospective interventional study was done with 30 randomly selected patients subjected to the open fistulectomy and 30 to the fistulectomy with the primary closure. All patients were followed up for one year. Results: Majority of parients in both groups presented with discharge and swelling in perianal region. There is significant difference between duration of stay of patients of open (11 days) and closed(8 days)(p value 0.0001). There is significant difference between duration of wound healing of open(27 days) and closed(10 days)(p value 0.0001). Patients who had undergone fistulectomy with primary closure had a mean VAS pain score of 3.36 while patients who had undergone open fistulectomy had a mean VAS pain score of 7.4 on the first post–operative day. Conclusion: The study proved that the primary closure after fistulectomy showed better results in terms of patient’s compliance, lesser pain management and short hospital stay as compare to the open fistulectomy.