Comparative study of fistulectomy vs fistulotomy in treatment of fistula-in-ano regarding postoperative complications and long term results

ABSTRACT

Fistula is defined as chronic granulating tract connecting two epithelial lined surfaces. These surfaces may be cutaneous or mucosal. An anal fistula is a track with an internal opening in the mucosa of the anal canal or retctum. To compare fistulectomy vs fistulotomy regarding postoperative complications and long term results. All patients having fistula-in-ano of low variety were treated with to procedures, fistulectomy and fistulotomy. These patients were divided into two groups. In one group fistulectomy was done and in other group fistulotomy was done. Out of patients operated for perianal fistula of low variety, 60 were males and 20 were females. The male to female ratio was 31. The patients of perianal fistula present with different symptoms. Patients present with discharge were 28, with pain and perianal abscess were 38 and with perianal itching were 14. The patients of perianal fistula belong to the different categories, the 50 belong to poor group, 20 belong to middle class and 10 belong to rich group. In this study, 40 patients were operated by fistulotomy, pain was present in I patient. In another 40 patients who were operated by fistulectomy pain was present in 2 patients. It has been concluded that complete removal of fistulous tract and minimal postoperative complications are the keys to be success in fistula surgery