Clinical Study of Various Modalities of the Treatment of Fistula in Ano in Maharashtra Population
Background: Fistula in ano is one disease which is easy to diagnose but difficult to cure as patients report very late phase of
the disease and it leads to problems, because it has different locations, openings, and positions.
Materials and Methods: A total of 180 adult patients having fistula in ano were studied. PR examination, photoscopy, and
fistulogram were done for planned surgical treatment. All pre-operative routine blood examination was carried out. Surgery was
done under appropriate anesthesia and dissected part was sent for histopathological examination. Based on histopathological
report, patients were treated postoperatively in fistulectomy surgeries, treated with broad-spectrum antibiotics post-surgically.
Results: Clinical manifestations were 168 (93.3%) had peroneal discharge, 135 (75%) had history of peroneal abscess, 53 (29.4%)
had pain, 173 (96.1%) had swelling, 153 (85%) had only one opening, 27 (15%) had more than 1 opening, 28 (15.5%) had
interiorly located, and 152 (84.4%) had posteriorly located. One hundred and fifty-six (86.6%) were positioned low and 24 (13.3%)
had high position. Types of surgeries were 126 (70%) had fistulotomy, 20 (11.1%) fistulotomy, and 34 (18.8%) had seton thread.
Post-operative results were 172 (95.5%) had complete healing and 8 (4.4%) had recurrence of fistula.
Conclusion: Fistulotomy technique is associated with slightly high rate of recurrence but low chances of anal incontinence. It
has shorter operating time with less post-operative pain and less time is needed for wound healing as compared to fistulectomy.
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