To study the management of Fistula-In-Ano: An experience at tertiary care centre in rural area, can achieve acceptable fistula care

Abstract

Background: Fistula In-Ano is one of the major ano-rectal issues. Crypto glandular infection is the main cause, can be multiple that extends from same primary opening. Fistulectomy, sphincter saving operations usually recommended for fistula. Objectives: 1. to assess the modes of presentation. 2. To assess treatment modality 3. To assess post-operative outcome. Material and method: Prospective cohort study 49 patients included, carried out at dept. of surgery tertiary care centre, MUHS Nasik, Maharashtra India, between Jan 2014 to Jan 2019. Result: Maximum patients observed in 46-55 years age group (42.87%). M:F ratio was 3.9:1 Most of them low socioeconomic class. (85.72%) showed low fistula, posteriorly situated with single external opening. Surgeries were fistulectomy, fistulotomy, fistulectomy with closure and curettage. Minimum complication observed infection, incontinence, recurrence. Duration of healing (46.94%) observed in 7-12 weeks, primary healing was (95.91%). Conclusion: A Good outcome was achieved in the majority of patients with few complications; however there is a need for large-scale trials to evaluate the different surgical treatment modalities.