Fistulotomy in the Management of Perineo-Scrotal Anterior Fistula-In-Ano
Authors/Creators
- 1. Associate Professor, Department of Surgical Gastroenterology, Vijayanagar Institute of Medical Sciences, Bellary
- 2. Post-graduate, Department of General Surgery, Vijayanagar Institute of Medical Sciences, Bellary
Description
Introduction: Anterior fistulas opening over the scrotum or perineum, have long represented a surgical challenge. Objectives: To study the outcomes in 30 cases of anterior fistulas, treated with fistulotomy as a single stage procedure. Methods: In a prospective study, 30 patients with anterior fistulas were selected. Workup was done to delineate the course and type of fistula. The selected cases underwent fistulotomy as a single stage procedure. Outcomes of surgery were measured in terms of recurrence of symptoms, incontinence as measured by the Wexner score, and complications. Results: Over half the fistulae (53.3%) were found to be trans-sphincteric type according to Park’s classification. Post fistulotomy, 22 patients (73.3%) recovered completely. Four patients had minor complication of wound infection. Recurrence was noted in one of the patients. Two patients were found to have incontinence post-operatively at 3 months, with Wexner scores >10. However, only 1 patient had a significant incontinence at the 6-month post-operative follow up visit. Conclusion: Fistulotomy appears to be a simple and effective treatment modality for anterior fistulae. A comparative analysis with other surgical techniques is warranted.
Abstract (English)
Introduction: Anterior fistulas opening over the scrotum or perineum, have long represented a surgical challenge. Objectives: To study the outcomes in 30 cases of anterior fistulas, treated with fistulotomy as a single stage procedure. Methods: In a prospective study, 30 patients with anterior fistulas were selected. Workup was done to delineate the course and type of fistula. The selected cases underwent fistulotomy as a single stage procedure. Outcomes of surgery were measured in terms of recurrence of symptoms, incontinence as measured by the Wexner score, and complications. Results: Over half the fistulae (53.3%) were found to be trans-sphincteric type according to Park’s classification. Post fistulotomy, 22 patients (73.3%) recovered completely. Four patients had minor complication of wound infection. Recurrence was noted in one of the patients. Two patients were found to have incontinence post-operatively at 3 months, with Wexner scores >10. However, only 1 patient had a significant incontinence at the 6-month post-operative follow up visit. Conclusion: Fistulotomy appears to be a simple and effective treatment modality for anterior fistulae. A comparative analysis with other surgical techniques is warranted.
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IJTPR,Vol13,Issue6,Article8.pdf
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Additional details
Dates
- Accepted
-
2023-05-30
Software
References
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