A study of usefulness of fistulogram for the anorectal fistulectomy at tertiary health care centre
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 1
Abstract
Background: Perianal fistula is thought to develop secondary to perianal abscess. The disease has a rather high rate of recurrence, Recurrence is usually due to secondary extensions which are missed during the operation and thus are not properly treated. Aims and Objectives: study of usefulness of Fistulogram for the Anorectal fistulectomy at tertiary health care centre. Methodology: This was a cross-sectional study carried out in the department of Surgery of a tertiary health care centre during the one year period i.e. January 2017 to January 2018 in the study period there were 55 patients of anorectal fistula were selected randomly , all the patients undergone all routine clinical and hematological investigations after that all of them undergone MR-Fistulogram , results of the MR-Fistulogram i.e. Intersphincteric, Transsphincteric, Suprasphincteric, Extrasphincteric or Supralevator were entered into excel sheets analyzed in percentages. Result: In our study we have seen that The majority of the patients were in the age group of 30-40 were 27.27%, followed by 40-50, Were 23.64%, 50-60 were 20.00%, >60 were 16.36%, 20-30 were 12.73%. The majority of the patients were Male i.e. 69.09% and Females were 30.91% the male to Female ratio was 2.23: 1. The most common type of fistula found in our study was Intersphincteric was 68%, Transsphincteric was 19%, Suprasphincteric-11%, Extrasphincteric or Supralevator - 2%. Conclusion: It can be concluded from our study that MRI was most useful in identifying type of Fistula important for the surgical management and prevention of subsequent recurrence.
Authors and Affiliations
Uday Tambe, Abhay Desai
Keywords
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