Fistula In Ano Essay

Background: Fistula-in-ano forms a good majority of treatable benign lesions of the rectum and anal canal. 90% or so of these cases are end results of crypto glandular infections. Despite the easy of diagnosis, establishing a cure is problematic on two accounts. Firstly, many patients tend to let their ailment nag them rather than being subject to examination, mostly owing to the site of this disease. The more important second factor is that a significant percent of these diseases persist or recur when the right modality of surgery is not adopted or when the post-operative care is inadequate. Aims and objectives: To know the usefulness of investigative procedures in early and accurate diagnosis of fistula in ano. To study the efficacy of different modalities of surgical approach with reference to post-operative hospital stay and complications like pain ,bleeding and sphincter incontinence and outcome in respect to persistence/ recurrence of fistulae. Material and methods: A total of 25 patients with clinically diagnosed fistula in ano were included in the study. Clinical …show more content…
It is curable disease by the treatment of surgery and higher antibiotics, local antibiotics with good post-operative wound management, like sits bath for twice a day without closing the wound. Diagnosis is by history, clinical examination, per rectal examination with discharging sinus and pains the complaints in majority of patients. All the cases should undergo surgery. Fistulotomy although has a slightly higher recurrence rate than Fistulectomy is preferred for low anal fistulas, as it is associated with less chances of incontinence, has significantly less incidence of post-operative complications and is associated with less hospital stay duration. Seton happens to be the procedure of choice in high anal