A Comparative Study of Fistulotomy and Fistulectomy in the Management of Low Lying Fistula in Ano in Patients Presenting to Tertiary Care Centre
Abstract: Background and Objectives: Fistula - in - ano (FIA) is an abnormal connection between the anal canal and perineal skin. Its treatment is controversial, typically involving either fistulotomy or fistulectomy. This study aims to compare these two procedures in managing low anal fistulas, focusing on procedure duration, postoperative pain (VAS scale), complete healing time, and recurrence. Methods: A prospective comparative study was conducted at Saraswathi Institute Of Medical Sciences, Hapur, UP from August 2022 to July 2024. Patients with low FIA were divided into two groups: Fistulectomy (fx) and Fistulotomy (fo). Procedure duration was recorded for both groups. Postoperative pain was assessed using the Visual Analog Scale (VAS) on Days 1, 3, and 7. Patients were monitored for complete wound healing time and recurrence at 3 months post - surgery. Results: The mean procedure duration was 7.36 minutes for fistulectomy and 3.80 minutes for fistulotomy, a statistically significant difference (p
Keywords: Fistula in Ano, Perianal Abscess, Fistulotomy, Fistulectomy
How to Cite?: Dr. Abhinav Tarun Sharma, Dr. Sanjay Kumar Mishra, Dr. Atul Shishodia, "A Comparative Study of Fistulotomy and Fistulectomy in the Management of Low Lying Fistula in Ano in Patients Presenting to Tertiary Care Centre", Volume 13 Issue 12, December 2024, International Journal of Science and Research (IJSR), Pages: 628-633, https://www.ijsr.net/getabstract.php?paperid=MR241208070335, DOI: https://dx.doi.org/10.21275/MR241208070335