Table of Contents

2016 Month : December Volume : 2 Issue : 2 Page : 1-4.

FISTULA-IN-ANO - A SINGLE INSTITUTE EXPERIENCE.

Usharani R1, Lakkanna S2, Yogesh Kumar Bung3, Chandrasekhar S. N4

Dr. Usharani R,
#F-07, Sreepride Apartment,
Chikkabanaswadi Main Road,
Bangalore-560033.
E-mail: drushagiri@gmail.com

ABSTRACT

BACKGROUND

Several techniques have been used for the management of fistula-in-ano. We conducted prospective study to assess type of diagnostic, presentation and treatment modalities and outcome of study over a period of 4 years.

MATERIALS AND METHODS

From 2005 to 2009, 56 patients presented with anal fistulas were treated in hospital and were included in the present study. Mean age 3 - 4 decades (16 - 66 years). Patients were treated with 4 operative surgeries Fistulotomy + Curettage - 6 patients (10.7%), Fistulectomy + PRI. Closure - 7 patients (12.5%), Fistulectomy-coring method - 43 patients (76.7%). Data on age, gender, type of fistula, operative interventions, healing rate and recurrences were analysed.

RESULTS

Clinical features were mainly pain, discharge, swelling, past history of I and D; 90% healed well single stage procedure, 8.9% had recurrence; and 0.5% had RV fistula, were reoperated and subsequently healed well. All the cases of fistula healed well. Best results are expected from fistulectomy.

CONCLUSION

Fistula-in-ano is a chronic manifestation of cryptoglandular infection. It has presentation ranging from pain associated with discharge to severe depression and crippling of lifestyle. Intersphincteric type is the most common variety of fistula-in-ano and fistulectomy with Coring yields better results in management of fistula-in-ano. MR fistulogram has proven to be best available diagnostic modality to understand the anatomy of fistulous tract, hence helping the surgeon to plan the surgical intervention.

KEYWORDS

Fistula-In-Ano, Coring Method.

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