A comparative study between fistulotomy and fistulectomy in management of low anal fistulae

Ganesan R.; Karunakaran K.; Heber Anandan

doi:10.18203/2349-2902.isj20174882

Authors

Ganesan R. Department of Surgery, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India
Karunakaran K. Department of Surgery, Government Sivagangai Medical College, Sivagangai, Tamil Nadu, India
Heber Anandan Department of Clinical Research, Dr. Agarwal’s Healthcare Limited, Tirunelveli, Tamilnadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20174882

Keywords:

Fistula-in-Ano, Low anal fistulae

Abstract

Background: Fistula in ano is a silent menace in human beings, the treatment is a challenging one even for experienced surgeons, fistula in ano forms a good majority of treatable benign lesions of rectum and anal canal. Aim was to study the efficacy of fistulotomy and fistulectomy in the treatment of low anal fistulae.

Methods: A randomized control study was conducted to compare fistulotomy with fistulectomy in patients with low anal fistulae.

Results: The operating time in fistulotomy group was 12.13minutes±2.11minutes and in fistulectomy group was 22.23±3.36minutes. The post-surgery hospital stays in Group I was 1.80±0.66days and in Group II was 2.60±0.563 days. The wound healing time in Group I was 24.20±2.95 days which was considerably less when compared to patients in Group II where it was 31.50±4.34 days.

Conclusions: Fistulotomy has a slight edge over fistulectomy in the treatment of low anal fistulas since it has shorter operating time, less post-operative pain, less complications, quicker wound healing time, less incontinence and a comparable recurrence rate.

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