Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Fistula-in-ano is a common anorectal condition requiring surgical intervention. Various surgical techniques, including fistulotomy, fistulectomy and the use of seton, are employed for its management. The choice of procedure depends on factors such as the complexity of the fistula, its location and the patient's overall health. This study compares the outcomes of fistulotomy and fistulectomy with or without the seton technique in the management of fistula-in-ano. The aim of the study is to evaluate the outcomes of surgical interventions for fistula-in-ano, with a focus on hospital stay. Prospective analytical study and observational study study was conducted 18 Month Department of Surgery, Dr. B.R.A.M Hospital, Raipur (C.G.).40 patients were included in this study. The majority of cases were classed as low variety, accounting for 75% of the total cases. Anterior and posterior simple fistulas were also prevalent, accounting for 10 and 30% of cases, respectively. Posterior complicated and multiple tract fistulas were each seen in 15% of patients each. Horseshoe fistula was seen in 5% of cases. Rest cases were of high variety fistulas accounting for 25% of total cases, 20 patients who had fistulotomy had 17.5% intersphincteric fistulas, 0% suprasphincteric fistulas and 32.5% transsphincteric fistulas. Fistulectomy was conducted in 10% of suprasphincteric fistulas and 20% of intersphincteric fistulas but no transsphincteric fistulas were treated with this treatment. Both fistulotomy and fistulectomy are effective in managing fistula-in-ano. While fistulotomy offers quicker recovery, fistulectomy may provide a more definitive solution with fewer recurrences. The seton technique is a useful adjunct in complex cases, balancing recurrence risk with preservation of continence. Tailoring the choice of procedure to individual patient profiles is crucial for optimizing outcomes.
How to cite this article:
Santosh Kumar Sonker, Saumitra Dube and Anil Kumar Gupta. Outcome of Fistulotomy and Fistulectomy with or Without Seton Technique in Management of Fistula in Ano.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.8.18.702.706
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.8.18.702.706