Study of Fistulotomy and Fistulectomy in the Management of Low Anal Fistula and Evaluation of Short Term Outcomes
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Fistula-in-ano being one of the most common benign anal conditions in daily surgical practice and for its chronic and recurring nature, adequate and effective surgery is the prime expectation of the patient from a surgeon. Conventional surgical options for a low fistula-in-ano include a fistulotomy and a fistulectomy. A fistulectomy involves complete excision of the fistulous tract, thereby eliminating the risk of missing secondary tracts and providing complete tissue for histopathological examination. A fistulotomy lays open the fistulous tract, thus leaving smaller unepithelised wounds, which hastens the wound healing. The purpose of our study is to review the role of fistulotomy and fistulectomy as management options for low anal fistula and to evaluate their outcomes. This study demonstrated shorter operating time and wound healing time, less post operative pain and earlier return to normal activities following a fistulotomy in comparison to a fistulectomy and should therefore be recommended as a standard surgical procedure in the treatment of low fistula-in-ano.
Authors and Affiliations
Nisith Ranjan Mallik, Soumyadeepta Nandi, Ashis Kumar Saha, Chhanda Das
Keywords
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- EP ID EP373314
- DOI 10.9790/0853-1704124245.
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